Organization
INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION
Active
Parent organization
INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION
Authorized official
DR. CAREY PAUL M.D. (PRESIDENT)
(909) 335-7171
Entity
Organization
Contact information
Practice address
2150 N WATERMAN AVE, SUITE 303, SAN BERNARDINO, CA 92404-4811
(909) 886-4971
(909) 883-0459
Mailing address
PO BOX 10488, SAN BERNARDINO, CA 92423-0488
(909) 335-7171
(909) 335-7139
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235351206
—
CA
05
—
1497965529
—
CA
05
—
1528238961
—
CA
01
—
ZZZ70178Z
BS/TRIWEST
CA
Enumeration date
02/29/2008
Last updated
05/24/2011
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