Rancho Industrial Medical Group, Inc. is a
Specialist based in Fontana, California. Rancho Industrial Medical Group, Inc. is licensed to practice in California (license number A37952) and their current practice location is
14384 Slover Ave, Fontana, California. It can be reached at their office (for appointments etc.) via phone at
(909) 350-7208.
NPI number for Rancho Industrial Medical Group, Inc. is 1033389408 and their current mailing address is 14384 Slover Ave, Fontana, California. Rancho Industrial Medical Group, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033389408.
Healthcare Provider's Profile
| Full Name | Rancho Industrial Medical Group, Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Specialist |
|---|
| Location | 14384 Slover Ave, Fontana, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033389408
- Provider Enumeration Date: 03/02/2008
- Last Update Date: 03/02/2008
Medical Identifiers
Medical identifiers for Rancho Industrial Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033389408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 27592 (California) | Secondary |
| 174400000X | Specialist | A37952 (California) | Primary |
| 174400000X | Specialist | G39074 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 18783 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 20771 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rancho Industrial Medical Group, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rancho Industrial Medical Group, Inc.
14384 Slover Ave,
Fontana, CA 92337-7122
Ph: (909) 350-7208 | Rancho Industrial Medical Group, Inc.
14384 Slover Ave,
Fontana, CA 92337-7122
Ph: (909) 350-7208 |
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