Inland Healthcare Group A Medical Corporation | |
7291 Boulder Ave Ste 2c Highland CA 92346-3389 | |
(909) 862-4226 | |
(909) 862-0319 |
Full Name | Inland Healthcare Group A Medical Corporation |
---|---|
Speciality | Family Medicine |
Location | 7291 Boulder Ave, Highland, 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: (909) 335-7171 | Inland Healthcare Group A Medical Corporation 7291 Boulder Ave Ste 2c Highland CA 92346-3389 Ph: (909) 862-4226 |
NPI Number | 1700836475 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 11/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700836475 | NPI | - | NPPES |
1376594804 | Medicaid | CA | |
1730390865 | Medicaid | CA | |
1700836475 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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