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Organization
PINNACLE MEDICAL GROUP, INC
Active
Organization
PINNACLE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SABBAH M.D. (MEDICAL DIRECTOR)
(909) 881-4115
Entity
Organization
Contact information
Practice address
1850 N RIVERSIDE AVE STE 240, RIALTO, CA 92376-8082
(909) 427-9960
Mailing address
PO BOX 12209, SAN BERNARDINO, CA 92423-2209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ14739Z
MEDICARE PTAN
—
Enumeration date
03/12/2012
Last updated
02/26/2013
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