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Specialty details in registry · Blue Jay, CA
At a glance
27209 Highway 189, Blue Jay, CA 92317
NPPES record updated Sep 1, 2016. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
27209 Highway 189Blue Jay, CA 92317
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 163WD0400X
- Enumeration date
- Sep 1, 2016
- Record updated
- Sep 1, 2016
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
163WA0400X
License reported: 389453 CA
Specialty details in registry
163WD0400X · Primary
License reported: 389453 CA
Specialty details in registry
208D00000X
License reported: 389453 CA
Specialty details in registry
302R00000X
License reported: 389453 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
27209 Highway 189Blue Jay, CA 92317
- Phone
- (909) 336-4032
- Fax
- (909) 337-8465
Mailing address
27209 HWY 189,BLUE JAY, CA 923171221
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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