Organization
INTEGRATED MEDICAL CENTER OF CORONA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LEE SANDERFER M.D., M.B.A. (PERSIDENT)
(951) 737-1252
Entity
Organization
Contact information
Practice address
2250 S MAIN ST, SUITE 203, CORONA, CA 92882-2534
(951) 737-1252
(951) 737-2820
Mailing address
2250 S MAIN ST, SUITE 203, CORONA, CA 92882-2534
(951) 737-1252
(951) 737-2820
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
39736MD
CA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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