Inland Empire Health Plan

NPI 1225139546 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1225139546
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADLEY PAUL BRADLEY
Position CHIEF MEDICAL OFFICER
Phone (909) 890-2030
Fax
Practice Location
303 E VANDERBILT WAY
SAN BERNARDINO CA, 92408-3551, US
Phone (909) 890-2030
Fax
Business Location
20 SUNNYVALE
IRVINE CA, 92602-1068, US
Phone (714) 505-5730
Fax
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number G55690
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According to our database, Inland Empire Health Plan NPI is 1225139546, taxonomy code is 302R00000X and license number is G55690, license state is located at California. Inland Empire Health Plan physically located at 303 E Vanderbilt Way, San Bernardino CA, 92408-3551. NPI Number 1033115704 has the healthcare provider type.

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1225139546 NPI number is provided on an as is basis without warranty of any kind. 1225139546 is maintained by the National Plan & Provider Enumeration System. The contents of Inland Empire Health Plan are for informational purposes only.