| Inland Hospitalists Med Gp | |
|
11705 Slate Ave Riverside CA 92505-5196 | |
| (951) 351-7726 | |
| Not Available |
| Full Name | Inland Hospitalists Med Gp |
|---|---|
| Speciality | Internal Medicine |
| Location | 11705 Slate Ave, Riverside, California |
| Authorized Official Name and Position | Edgar Ardila (OWNER) |
| Authorized Official Contact | 7146925180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Hospitalists Med Gp Po Box 80590 San Marino CA 91118-8590 Ph: (714) 692-5180 | Inland Hospitalists Med Gp 11705 Slate Ave Riverside CA 92505-5196 Ph: (951) 351-7726 |
| NPI Number | 1548254980 |
|---|---|
| Provider Enumeration Date | 08/31/2005 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548254980 | NPI | - | NPPES |
| GR0101830 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
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