| Inland Healthcare Group | |
|
17171 Foothill Blvd. Suite E Fontana CA 92335 | |
| (909) 356-5757 | |
| (909) 356-5608 |
| Full Name | Inland Healthcare Group |
|---|---|
| Speciality | Family Medicine |
| Location | 17171 Foothill Blvd., 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 1980 Orange Tree Ln Suite 200 Redlands CA 92374-4534 Ph: (909) 335-7171 | Inland Healthcare Group 17171 Foothill Blvd. Suite E Fontana CA 92335 Ph: (909) 356-5757 |
| NPI Number | 1932383148 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932383148 | NPI | - | NPPES |
| GR0062061 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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