# CEDAR POINTE MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942735568
- **Authorized official:** DR. FADY ELIAS (MEDICAL DIRECTOR)
- **Authorized official phone:** (760) 946-5177

## Contact information

- **Practice address:** 229 N LAUREL AVE, ONTARIO, CA 91762-3500
- **Practice address phone:** (909) 988-2554
- **Practice address fax:** (909) 988-2554
- **Mailing address:** 229 N LAUREL AVE, ONTARIO, CA 91762-3500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | A137960 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A122000 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | A86043 | CA | Yes |
| 208VP0000X | Pain Medicine Physician | A130159 | CA | — |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 04/21/2017