| Inland Healthcare Group | |
|
7430 Cherry Ave Suite 100 Fontana CA 92336-4255 | |
| (909) 829-4680 | |
| (909) 854-0260 |
| Full Name | Inland Healthcare Group |
|---|---|
| Speciality | Pediatrics |
| Location | 7430 Cherry Ave, Fontana, California |
| Authorized Official Name and Position | Lisa Perko (CFO) |
| Authorized Official Contact | 9093357171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Healthcare Group Po Box 10488 San Bernardino CA 92423-0488 Ph: (888) 344-9111 | Inland Healthcare Group 7430 Cherry Ave Suite 100 Fontana CA 92336-4255 Ph: (909) 829-4680 |
| NPI Number | 1518136787 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518136787 | NPI | - | NPPES |
| 1518136787 | Medicaid | CA | |
| 1871543850 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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