# INDUSTRIAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1407129323
- **Authorized official:** DR. RALPH D DEAN MD (CEO)
- **Authorized official phone:** (951) 272-2929

## Contact information

- **Practice address:** 91 E GRAND BLVD, CORONA, CA 92879-1340
- **Practice address phone:** (951) 272-2929
- **Practice address fax:** (951) 272-5847
- **Mailing address:** 91 E GRAND BLVD, CORONA, CA 92879-1340
- **Mailing address phone:** (951) 272-2929
- **Mailing address fax:** (951) 272-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A25818 | CA | Yes |

## Other

- **Enumeration date:** 02/23/2012
- **Last updated:** 02/23/2012
