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Organization
ELITE AMBULATORY SERVICES GP
Active
Organization
ELITE AMBULATORY SERVICES GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKER HILLAWY MD (OWNER)
(774) 444-1004
Entity
Organization
Contact information
Practice address
242 E AIRPORT DR STE 100, SAN BERNARDINO, CA 92408-3408
(909) 317-4988
Mailing address
8816 FOOTHILL BLVD # 103-338, RANCHO CUCAMONGA, CA 91730-7199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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