Alta Loma Medical Group

LBN: Consumer Medical Enterprise
Alta Loma Medical Group is an health care organization with primary practice located at 9695 Baseline Rd , Rancho Cucamonga CA 91730-1314. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Consumer Medical Enterprise can be contacted via phone (909) 980-2273, or through Kurth, Donald J via phone (909) 980-2273.

Contact Information

Primary practice address
9695 Baseline Rd Rancho Cucamonga CA 91730-1314
Phone: (909) 980-2273
Fax: (909) 980-1387
Website:
Map and Directions
Authorized official contact:
Name: Kurth, Donald J Doctor of Medicine (MD)
Phone: (909) 980-2273

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X FNP14159 California

Profile Details

NPI number 1033139936
LBN Legal business name Consumer Medical Enterprise
DBA Doing business as Alta Loma Medical Group
Authorized official Kurth, Donald J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033139936 NPPES
California MEDICAID GR0015501

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