Organization
INLAND UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON L NGUYEN M.D. (PRESIDENT)
(909) 623-3428
Entity
Organization
Contact information
Practice address
210 W BONITA AVE, 100, POMONA, CA 91767-1865
(909) 623-3428
(909) 622-1923
Mailing address
210 W BONITA AVE, 100, POMONA, CA 91767-1865
(909) 623-3428
(909) 622-1923
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G81615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A623800
—
CA
05
—
00G816150
—
CA
Enumeration date
07/10/2006
Last updated
08/13/2014
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