Organization
IMAGINE WELLNESS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FORD RD (CEDRD), DRPH (OWNER)
(909) 894-8084
Entity
Organization
Contact information
Practice address
12 NEVADA ST STE B, REDLANDS, CA 92373-4222
(909) 894-8084
(909) 363-8731
Mailing address
12 NEVADA ST STE B, REDLANDS, CA 92373-4222
(909) 894-8084
(909) 363-8731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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