# INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1417995598
- **Authorized official:** DR. JOHN MOURANI M.D. (PRESIDENT)
- **Authorized official phone:** (951) 929-6260

## Contact information

- **Practice address:** 255 E BONITA AVE BLDG 1B, POMONA, CA 91767-1923
- **Practice address phone:** (909) 275-7470
- **Practice address fax:** (909) 971-4532
- **Mailing address:** 310 N INDIAN HILL BLVD, 801, CLAREMONT, CA 91711-4611
- **Mailing address phone:** (909) 275-7470
- **Mailing address fax:** (909) 971-4532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 05/03/2023