Organization
INLAND PSYCHIATRIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYAM KUNAM M.D. (CEO)
(909) 335-3026
Entity
Organization
Contact information
Practice address
405 MISSOURI CT, REDLANDS, CA 92373-8083
(909) 307-1320
(909) 798-3607
Mailing address
PO BOX 8160, REDLANDS, CA 92375-1360
(909) 335-3026
(909) 335-3167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
09/03/2008
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