Organization
INLAND CARDIOTHORACIC SURGICAL ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI KING (DIRECTOR)
(909) 881-1614
Entity
Organization
Contact information
Practice address
16051 KASOTA RD, SUITE 900, APPLE VALLEY, CA 92307-2215
(760) 946-8181
(760) 946-8184
Mailing address
401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 92404-3803
(909) 881-1614
(909) 422-0130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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