OrganizationActive
Life Medical Center Inc.
NPI 1184906547 · Legal Medicine (M.D./D.O.) Physician · Ontario, CA
Provider details
- NPI number
- 1184906547
- Entity type
- Organization
- Primary specialty
- Legal Medicine (M.D./D.O.) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khai Tran, Doctor(909) 395-9888
- License
- 20A7325 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
653 E E St
Suite 108
Ontario, CA 91764-4257
Phone: (909) 395-9888
Approximate (ZIP-level) locationGet directions
Mailing address
653 E E St
Ontario, CA 91764-4257
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2011-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.