Family Practice Medical Group Of San Bernardino, Inc

NPI 1144351545 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1144351545
Enumeration Date 03/08/2007
Last Updated 10/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD J RICHARD
Position MEDICAL DIRECTOR
Phone (909) 883-8966
Fax (909) 881-1480
Practice Location
1369 E HIGHLAND AVE
SAN BERNARDINO CA, 92404-4640, US
Phone (909) 883-8966
Fax (909) 881-1480
Business Location
1369 E HIGHLAND AVE
SAN BERNARDINO CA, 92404-4640, US
Phone (909) 883-8966
Fax (909) 881-1480
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
Remove 1144351545 NPI Number
 

According to our database, Family Practice Medical Group Of San Bernardino, Inc NPI is 1144351545, taxonomy code is 302R00000X Family Practice Medical Group Of San Bernardino, Inc physically located at 1369 E Highland Ave, San Bernardino CA, 92404-4640. NPI Number 1033115704 has the healthcare provider type.

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1144351545 NPI number is provided on an as is basis without warranty of any kind. 1144351545 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Medical Group Of San Bernardino, Inc are for informational purposes only.