Inland Psychiatric Medical Group, Inc

NPI 1003132796 - Psychologist - 103TC0700X

NPI Details
NPI 1003132796
Enumeration Date 04/20/2010
Last Updated 04/20/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NALLAMOTHU NALLAMOTHU
Position PHYSICIAN
Phone (951) 243-6455
Fax (951) 243-0207
Practice Location
264 N HIGHLAND SPRINGS AVE
SUITE C
BANNING CA, 92220-3082, US
Phone (951) 243-6455
Fax (951) 243-0207
Business Location
23110 ATLANTIC CIR
SUITE B
MORENO VALLEY CA, 92553-5920, US
Phone (951) 243-6455
Fax (951) 243-0207
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Inland Psychiatric Medical Group, Inc NPI is 1003132796, taxonomy code is 103TC0700X Inland Psychiatric Medical Group, Inc physically located at 264 N Highland Springs Ave, Banning CA, 92220-3082. NPI Number 1033115704 has the healthcare provider type.

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1003132796 NPI number is provided on an as is basis without warranty of any kind. 1003132796 is maintained by the National Plan & Provider Enumeration System. The contents of Inland Psychiatric Medical Group, Inc are for informational purposes only.