Organization
INLAND PSYCHIATRIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYAM P KUNAM M.D. (CEO)
(909) 335-3026
Entity
Organization
Contact information
Practice address
8710 MONROE CT, SUITE 150, RANCHO CUCAMONGA, CA 91730-4883
(909) 941-4870
(909) 941-4875
Mailing address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
(909) 307-1320
(909) 798-3607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/26/2007
Last updated
09/25/2018
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