# RUDOLPH MULTI SPECIALTY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245636786
- **Authorized official:** CLAUDIA DURAN MANAGER (ADMINISTRATION)
- **Authorized official phone:** (909) 483-3530

## Contact information

- **Practice address:** 435 ORANGE SHOW LN STE 208, SAN BERNARDINO, CA 92408-2032
- **Practice address phone:** (909) 483-3530
- **Practice address fax:** (909) 380-7741
- **Mailing address:** 435 ORANGE SHOW LN STE 208, SAN BERNARDINO, CA 92408-2032
- **Mailing address phone:** (909) 483-3530
- **Mailing address fax:** (909) 380-7741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 11/11/2014