Organization
SAN BERNARDINO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MALIN (CEO)
(909) 883-8611
Entity
Organization
Contact information
Practice address
1700 NORTH WATERMAN AVENUE, SAN BERNARDINO, CA 92404-5105
(909) 883-8611
(909) 886-1798
Mailing address
1700 NORTH WATERMAN AVENUE, SAN BERNARDINO, CA 92404-5105
(909) 883-8611
(909) 886-1798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2006
Last updated
11/12/2009
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