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Organization

INLAND DERMATOLOGY MEDICAL GROUP INC

Active
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Organization

INLAND DERMATOLOGY MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEON E SCHWARTZ MD (PHYSICIAN OWNER)
(909) 886-4965
Entity
Organization

Contact information

Practice address
1666 NORTH WATERMAN AVENUE, SAN BERNARDINO, CA 92404
(909) 886-4965
(909) 886-8555
Mailing address
1666 NORTH WATERMAN AVENUE, SAN BERNARDINO, CA 92404
(909) 886-4965
(909) 886-8555

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A240290
PIN
CA
05
ZZZ46881Z
CA
Enumeration date
11/29/2006
Last updated
08/22/2020
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