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Organization
INLAND HEALTHCARE GROUP
Active
Organization
INLAND HEALTHCARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PERKO (CFO)
(909) 335-7171
Entity
Organization
Contact information
Practice address
17171 FOOTHILL BLVD., SUITE E, FONTANA, CA 92335
(909) 356-5757
(909) 356-5608
Mailing address
1980 ORANGE TREE LN, SUITE 200, REDLANDS, CA 92374-4534
(909) 335-7171
(909) 335-7140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062061
—
CA
Enumeration date
12/24/2007
Last updated
12/24/2007
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