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Organization
INLAND HOSPITALISTS MED GP
Active
Organization
INLAND HOSPITALISTS MED GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR ARDILA MD (OWNER)
(714) 692-5180
Entity
Organization
Contact information
Practice address
11705 SLATE AVE, RIVERSIDE, CA 92505-5196
(951) 351-7726
Mailing address
PO BOX 80590, SAN MARINO, CA 91118-8590
(714) 692-5180
(714) 692-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101830
—
CA
Enumeration date
08/31/2005
Last updated
04/03/2008
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