Montclair Community Health Center

LBN: Montclair Community Health Center
Montclair Community Health Center is an health care organization with primary practice located at 5050 San Bernardino St , Montclair CA 91763-2326. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Montclair Community Health Center can be contacted via phone (909) 281-5800, or through Lally, James via phone (909) 281-5800.

Contact Information

Primary practice address
5050 San Bernardino St Montclair CA 91763-2326
Phone: (909) 281-5800
Fax: (909) 281-5858
Website:
Map and Directions
Authorized official contact:
Name: Lally, James Doctor of Osteopathy (DO)
Phone: (909) 281-5800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1508373119
LBN Legal business name Montclair Community Health Center
DBA Doing business as
Authorized official Lally, James Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 4th, 2018
Last updated Jan 4th, 2018 - about 8 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 1508373119 NPPES
California MEDICAID 1407306772

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