# INLAND EAR NOSE AND THROAT A MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOOTHILL AMBULATORY SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477502979
- **Authorized official:** NATEE POOPAT MD (PRESIDENT)
- **Authorized official phone:** (909) 981-5859

## Contact information

- **Practice address:** 1030 E FOOTHILL BLVD, SUITE 101B, UPLAND, CA 91786
- **Practice address phone:** (909) 981-5859
- **Practice address fax:** (909) 981-8293
- **Mailing address:** 1030 E FOOTHILL BLVD, SUITE 101B, UPLAND, CA 91786
- **Mailing address phone:** (909) 981-5859
- **Mailing address fax:** (909) 981-8293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 06/24/2016