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Organization

INLAND PSYCHIATRIC MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER GUTIERREZ (PROVIDER RELATIONS ADMIN)
(909) 289-4075
Entity
Organization

Contact information

Practice address
556 MOWRY AVE STE 100, FREMONT, CA 94536-4186
(510) 839-1888
(510) 248-2516
Mailing address
556 MOWRY AVE STE 100, FREMONT, CA 94536-4186
(510) 839-1888
(510) 248-2516

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
04/23/2026
Last updated
04/23/2026
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