Organization
INLAND EMPIRE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC STRETTEN MD (CEO)
(714) 469-1690
Entity
Organization
Contact information
Practice address
10250 COUNTRY CLUB DR STE A, JURUPA VALLEY, CA 91752-1328
(952) 332-6360
(951) 332-0313
Mailing address
10250 COUNTRY CLUB DR STE A, JURUPA VALLEY, CA 91752-1328
(951) 332-6360
(951) 332-0313
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C35815
MEDICAL LICENSE
CA
Enumeration date
04/22/2019
Last updated
04/22/2019
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