| Mbpt No. 1 Llc | |
|
350 Terracina Blvd Redlands CA 92373-4850 | |
| (909) 335-5500 | |
| Not Available |
| Full Name | Mbpt No. 1 Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 350 Terracina Blvd, Redlands, California |
| Authorized Official Name and Position | Kenneth C Frederick (CEO) |
| Authorized Official Contact | 8586420032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbpt No. 1 Llc 9530 Towne Centre Dr Suite 120 San Diego CA 92121-1981 Ph: (858) 642-0032 | Mbpt No. 1 Llc 350 Terracina Blvd Redlands CA 92373-4850 Ph: (909) 335-5500 |
| NPI Number | 1295783652 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295783652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 481952 (California) | Primary |
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