# IAM MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659613693
- **Authorized official:** CHIOMA KALU M.D (DIRECTOR)
- **Authorized official phone:** (909) 684-9334

## Contact information

- **Practice address:** 5250 UNIVERSITY PKWY, A, SAN BERNARDINO, CA 92407-7051
- **Practice address phone:** (909) 684-9334
- **Practice address fax:** (909) 463-1426
- **Mailing address:** 5250 UNIVERSITY PKWY, A, SAN BERNARDINO, CA 92407-7051
- **Mailing address phone:** (909) 684-9334
- **Mailing address fax:** (909) 463-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A102218 | CA | Yes |

## Other

- **Enumeration date:** 03/16/2013
- **Last updated:** 03/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1336387018 | — | CA |