| Inland Healthcare Group A Medical Corporation | |
|
17051 Sierra Lakes Pkwy Suite 101 Fontana CA 92336-1274 | |
| (909) 428-2040 | |
| (909) 428-2191 |
| Full Name | Inland Healthcare Group A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 17051 Sierra Lakes Pkwy, Fontana, California |
| Authorized Official Name and Position | Carey Paul (PRESIDENT) |
| Authorized Official Contact | 9093357171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Healthcare Group A Medical Corporation Po Box 10488 San Bernardino CA 92423-0488 Ph: (888) 344-9111 | Inland Healthcare Group A Medical Corporation 17051 Sierra Lakes Pkwy Suite 101 Fontana CA 92336-1274 Ph: (909) 428-2040 |
| NPI Number | 1174760953 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174760953 | NPI | - | NPPES |
| 1366516478 | Medicaid | CA | |
| 1174760953 | Medicaid | CA | |
| 1629231147 | Medicaid | CA | |
| 1265642052 | Medicaid | CA | |
| 1871543850 | Medicaid | CA | |
| 1508052010 | Medicaid | CA |
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