Provider Demographics
NPI:1053910273
Name:ONSITE SERVICES OF CALIFORNIA
Entity type:Organization
Organization Name:ONSITE SERVICES OF CALIFORNIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:909-554-3386
Mailing Address - Street 1:595 N LA CADENA DR STE G
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-2820
Mailing Address - Country:US
Mailing Address - Phone:909-554-3386
Mailing Address - Fax:909-752-5341
Practice Address - Street 1:1040 S MOUNT VERNON AVE # G-276
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-4228
Practice Address - Country:US
Practice Address - Phone:562-533-8348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory