| Inland Valley Infectious Disease Medical Group | |
|
255 E Bonita Ave Pomona CA 91767-1923 | |
| (760) 740-0799 | |
| (760) 740-0799 |
| Full Name | Inland Valley Infectious Disease Medical Group |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 255 E Bonita Ave, Pomona, California |
| Authorized Official Name and Position | Daniel P Gluckstein (PRESIDENT) |
| Authorized Official Contact | 7607400799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Valley Infectious Disease Medical Group Po Box 289007 San Diego CA 92198-9007 Ph: (760) 740-0799 | Inland Valley Infectious Disease Medical Group 255 E Bonita Ave Pomona CA 91767-1923 Ph: (760) 740-0799 |
| NPI Number | 1598793531 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598793531 | NPI | - | NPPES |
| GR0059670 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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