# COUNTRY MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1295166189
- **Authorized official:** DR. BHARATI SHAH M.D. (PRESIDENT)
- **Authorized official phone:** (909) 860-2610

## Contact information

- **Practice address:** 23341 GOLDEN SPRINGS DR, SUITE \#210, DIAMOND BAR, CA 91765-2058
- **Practice address phone:** (909) 860-2610
- **Practice address fax:** (909) 860-1192
- **Mailing address:** 23341 GOLDEN SPRINGS DR, SUITE \#210, DIAMOND BAR, CA 91765-2058
- **Mailing address phone:** (909) 860-2610
- **Mailing address fax:** (909) 860-1192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A36684 | CA | Yes |

## Other

- **Enumeration date:** 12/03/2013
- **Last updated:** 12/03/2013