Organization
INLAND PSYCHIATRIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA ARZATE (CREDENTIALING)
(909) 289-4075
Entity
Organization
Contact information
Practice address
24432 MUIRLANDS BLVD, SUTIE 131, LAKE FOREST, CA 92630-3939
(949) 582-5532
(949) 582-3565
Mailing address
1809 W REDLANDS BLVD, REDLANDS, CA 92373-8054
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/14/2017
Last updated
11/20/2018
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