Organization
INLAND EMPIRE EXTRA CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAHER AZZAWI MD (DR/OWNER)
(909) 483-8361
Entity
Organization
Contact information
Practice address
10841 WHITE OAK AVE STE 107, INLAND EMPIRE EXTRA CARE INC, RANCHO CUCAMONGA, CA 91730-3811
(909) 483-2426
(909) 483-2070
Mailing address
10841 WHITE OAK AVE, STE 107, RANCHO CUCAMONGA, CA 91730-3811
(909) 483-8361
(909) 483-2070
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
A48743
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A51994
CA
Other
Enumeration date
03/06/2008
Last updated
04/07/2021
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