| Organization Name: | CHINO MEDICAL GROUP, INC |
| NPI Number: | 1053350884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE ALEX LIRA (MEDICAL DIRECTOR) |
| Mailing Address: | 5475 Walnut Ave Chino |
| State: | CA US |
| Postal Code: | 917102609 |
| Phone Number: | 9095916446 |
| Fax Number: | 9095911309 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |