Organization
COUNTY OF SAN BERNARDINO
Active
Parent organization
COUNTY OF SAN BERNARDINO
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SAN BERNARDINO
Authorized official
MR. JAMES L LINDLEY (INTERIM PUBLIC HEALTH DIRECTOR)
(909) 387-9146
Entity
Organization
Contact information
Practice address
17830 ARROW BOULEVARD, FONTANA, CA 92335-4037
(909) 356-6733
Mailing address
351 NORTH MOUNTAIN VIEW AVENUE, ROOM 303, SAN BERNARDINO, CA 92415-0010
(909) 387-6219
(909) 387-6228
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAB65059F
LAB
CA
05
—
ZZT11488F
—
CA
Enumeration date
03/04/2008
Last updated
03/04/2008
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