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Organization

INLAND PSYCHIATRIC MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYAM P KUNAM (MD)
(909) 335-3026
Entity
Organization

Contact information

Practice address
500 W BADILLO ST, COVINA, CA 91722-3762
(626) 250-0936
(626) 598-3422
Mailing address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
(909) 335-3026

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/22/2021
Last updated
03/22/2021
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