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Organization
INLAND EMPIRE MEDICAL NETWORK, INC.
Active
Organization
INLAND EMPIRE MEDICAL NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MANOS (CREDENTIALING)
(909) 398-1550
Entity
Organization
Contact information
Practice address
790 E BONITA AVE, 2ND FLOOR, POMONA, CA 91767-1906
(909) 447-8585
(909) 447-8593
Mailing address
9140 HAVEN AVE, SUITE110, RANCHO CUCAMONGA, CA 91730-5414
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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