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Organization
PINNACLE MEDICAL GROUP, INC
Active
Organization
PINNACLE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SABBAH M.D. (MEDICAL DIRECTOR)
(909) 881-4115
Entity
Organization
Contact information
Practice address
16655 FOOTHILL BLVD, FONTANA, CA 92335-8416
(909) 427-1303
(909) 796-4158
Mailing address
PO BOX 12089, SAN BERNARDINO, CA 92423-2089
(909) 335-4148
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ14738Z
MEDICARE PTAN
CA
Enumeration date
06/17/2006
Last updated
02/26/2013
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