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Organization
PREMIER MEDICAL GROUP OF CALIFORNIA
Active
Organization
PREMIER MEDICAL GROUP OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YTHANH D NGUYEN M.D. (PARTNER)
(619) 993-0189
Entity
Organization
Contact information
Practice address
901 SAN BERNARDINO RD, SUITE 101, UPLAND, CA 91786-4912
(562) 236-3432
(888) 228-3419
Mailing address
8816 FOOTHILL BLVD STE 103, RANCHO CUCAMONGA, CA 91730-7199
(562) 236-3432
(888) 228-3419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
546306
CA
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
08/16/2016
Last updated
06/24/2021
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