Organization
INLAND EYE INSTITUTE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER L. BLANTON M.D. (PRESIDENT)
(909) 825-3425
Entity
Organization
Contact information
Practice address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Mailing address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0029163
—
CA
Enumeration date
05/19/2006
Last updated
02/21/2020
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