Organization
EBTKS MEDICAL CENTER, A PROF CORP.
Active
Organization
EBTKS MEDICAL CENTER, A PROF CORP.
Active
Other names
Advanced Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH TRUDEAU DC (CEO)
(909) 648-3551
Entity
Organization
Contact information
Practice address
4515 HALLMARK PKWY, SAN BERNARDINO, CA 92407-1834
(909) 648-3551
Mailing address
4515 HALLMARK PKWY, SAN BERNARDINO, CA 92407-1834
(909) 648-3551
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DC18676
CA
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/15/2012
Last updated
04/30/2018
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