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Search › California › 111N00000X

Thomas Ontiveros, D.C

NPI 1710901657 · on the registry since 2006 · sole proprietor

Practice

Address
1515 W 190th St
Ste 510
Gardena, CA 90248
Phone
(714) 994-1131
Fax
(714) 994-4415
Organisation at this address
Maxim Healthcare Services, Inc.
Integrated Specialty Medical Associates Ipa, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
105

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California