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Organization
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Active
Organization
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Active
Parent organization
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Authorized official
DR. CAREY PAUL M.D. (PRESIDENT)
(909) 335-7171
Entity
Organization
Contact information
Practice address
17051 SIERRA LAKES PKWY, SUITE 101, FONTANA, CA 92336-1274
(909) 428-2040
(909) 428-2191
Mailing address
PO BOX 10488, SAN BERNARDINO, CA 92423-0488
(888) 344-9111
(909) 335-7130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174760953
—
CA
05
—
1265642052
—
CA
05
—
1366516478
—
CA
05
—
1508052010
—
CA
05
—
1629231147
—
CA
05
—
1871543850
—
CA
Enumeration date
01/15/2009
Last updated
05/24/2011
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