NORMA BACHOURA MD INC
Suppliers at Foothill Blvd, San Dimas, CA

License number
California G75576
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: DIRECTOR OF OPERATIONS
Phone: (858) 625-2990
Address
Address 2
150 W Foothill Blvd, San Dimas, CA 91773
5626 Oberlin Dr SUITE 110, San Diego, CA 92121
National Provider ID: 1336302843
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORMA BACHOURA,M.D., INC

150 W Foothill Blvd, San Dimas, CA 91773

Industry:
Ent, Family Doctor
Doing business as:
Norma Bachoura MD
Registration:
May 29, 2007
Site:
www.sandimashospital.com
Phone:
(909) 599-9925 (Phone)
Description:
There are 3 doctors at this site. Surgery is performed at this site.
State ID:
C3000237
Norma E. Bachoura
Agent:
Timothy J Blied,Irvine, CA 92612 (Physical)

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