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Organization
QUALITY CARE IPA INLAND EMPIRE, INC
Active
Organization
QUALITY CARE IPA INLAND EMPIRE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO BOLIVAR MD (OWNER)
(909) 888-8152
Entity
Organization
Contact information
Practice address
590 N SIERRA WAY, SAN BERNARDINO, CA 92410-4817
(909) 495-3595
(909) 763-2544
Mailing address
590 N SIERRA WAY, SAN BERNARDINO, CA 92410-4817
(909) 495-3595
(909) 763-2544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A38312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396998944
NPI
CA
Enumeration date
04/23/2013
Last updated
01/02/2014
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