Organization
INLAND EAR NOSE AND THROAT A MEDICAL GROUP INC
Active
Other names
FOOTHILL AMBULATORY SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
NATEE POOPAT MD (PRESIDENT)
(909) 981-5859
Entity
Organization
Contact information
Practice address
1030 E FOOTHILL BLVD, SUITE 101B, UPLAND, CA 91786
(909) 981-5859
(909) 981-8293
Mailing address
1030 E FOOTHILL BLVD, SUITE 101B, UPLAND, CA 91786
(909) 981-5859
(909) 981-8293
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
06/24/2016
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