Organization
INLAND REHABILITATION MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTUS H. KOUNANG MD (PRESIDENT/OWNER)
(909) 580-6250
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, RM#6A218A, COLTON, CA 92324-1801
(909) 580-6250
(909) 580-1361
Mailing address
646 PALO ALTO DR, REDLANDS, CA 92373-7321
(909) 793-4585
(909) 307-8031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A406270
—
CA
Enumeration date
05/27/2006
Last updated
12/05/2022
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