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Organization
REDLANDS FAMILY PRACTICE MEDICAL GROUP INC.
Active
Organization
REDLANDS FAMILY PRACTICE MEDICAL GROUP INC.
Active
Parent organization
REDLANDS FAMILY PRACTICE MEDICAL GROUP INC
Other names
Optum
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDLANDS FAMILY PRACTICE MEDICAL GROUP INC
Authorized official
ASHLEY GRIM (PRACTICE ADMINISTRATOR)
(909) 793-3208
Entity
Organization
Contact information
Practice address
1520 BARTON RD, REDLANDS, CA 92373-5467
(909) 793-3208
Mailing address
1520 BARTON RD, REDLANDS, CA 92373-5467
(909) 793-3208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
07/28/2022
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