| Inland Primary Care, Inc | |
|
1910 Orange Tree Ln Ste 320 Redlands CA 92374-4500 | |
| (909) 793-2363 | |
| (909) 793-4593 |
| Full Name | Inland Primary Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1910 Orange Tree Ln Ste 320, Redlands, California |
| Authorized Official Name and Position | Cheng Wang (PRESIDENT) |
| Authorized Official Contact | 9097932363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Primary Care, Inc 1910 Orange Tree Ln Ste 320 Redlands CA 92374-4500 Ph: (909) 793-2363 | Inland Primary Care, Inc 1910 Orange Tree Ln Ste 320 Redlands CA 92374-4500 Ph: (909) 793-2363 |
| NPI Number | 1881202661 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 7315363330 |
|---|---|
| Medicare Enrollment ID | O20201109001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881202661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheng Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205859089 PECOS PAC ID: 7810181328 Enrollment ID: I20101028001069 |
| Provider Name | William Angkadjaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871027722 PECOS PAC ID: 9436576360 Enrollment ID: I20200824002608 |
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