OrganizationActive
Southern California Picc Providers, Inc.
NPI 1255738241 · Vascular Specialist/Technologist Cardiovascular · Fontana, CA
Provider details
- NPI number
- 1255738241
- Entity type
- Organization
- Primary specialty
- Vascular Specialist/Technologist CardiovascularTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Maria Catherine Chua, Member of the Board(909) 945-9899
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5787 Little Shay Dr
Fontana, CA 92336
Phone: (909) 251-7730
Fax: (909) 251-7735
Approximate (ZIP-level) locationGet directions
Mailing address
5787 Little Shay Dr
Fontana, CA 92336-4593
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2018-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.