Organization
INLAND EAR NOSE AND THROAT A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATEE POOPAT M.D. (PRESIDENT)
(909) 981-5859
Entity
Organization
Contact information
Practice address
1030 E FOOTHILL BLVD, SUITE 101, UPLAND, CA 91786-4057
(909) 981-5859
(909) 981-8293
Mailing address
1030 E FOOTHILL BLVD, SUITE 101, UPLAND, CA 91786-4057
(909) 981-5859
(909) 981-8293
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM 480 A
PTAN, MEDICARE SOUTH
CA
Enumeration date
09/21/2006
Last updated
05/16/2023
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