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Organization
IAM MEDICAL CLINIC
Active
Organization
IAM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA KALU M.D (DIRECTOR)
(909) 684-9334
Entity
Organization
Contact information
Practice address
5250 UNIVERSITY PKWY, A, SAN BERNARDINO, CA 92407-7051
(909) 684-9334
(909) 463-1426
Mailing address
5250 UNIVERSITY PKWY, A, SAN BERNARDINO, CA 92407-7051
(909) 684-9334
(909) 463-1426
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A102218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336387018
—
CA
Enumeration date
03/16/2013
Last updated
03/16/2013
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