| Inland Psychiatric Medical Group, Inc. | |
|
4049 Brockton Ave Riverside CA 92501-3440 | |
| (951) 300-8124 | |
| (951) 262-7702 |
| Full Name | Inland Psychiatric Medical Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4049 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Amber Gutierrez (CREDENTIALING) |
| Authorized Official Contact | 9092894075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Psychiatric Medical Group, Inc. 1809 W Redlands Blvd Redlands CA 92373-8054 Ph: (909) 335-3026 | Inland Psychiatric Medical Group, Inc. 4049 Brockton Ave Riverside CA 92501-3440 Ph: (951) 300-8124 |
| NPI Number | 1487205506 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487205506 | NPI | - | NPPES |
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