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Organization

INTERIM PSYCHIATRIC CARE, MEDICAL CORPORATION

Active
Other names
IPC
Organization subpart
No

Provider details

NPI number
Authorized official
BHUPINDER S NAKAI MD (MEDICAL DIRECTOR)
(909) 945-3330
Entity
Organization

Contact information

Practice address
9327 FAIRWAY VIEW PL, STE 110, RANCHO CUCAMONGA, CA 91730-0968
(909) 945-3330
(909) 945-1031
Mailing address
9327 FAIRWAY VIEW PL, STE 110, RANCHO CUCAMONGA, CA 91730-0968
(909) 945-3330
(909) 945-1031

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC32911
CA
106H00000X
Marriage & Family Therapist
MFC34041
CA
106H00000X
Marriage & Family Therapist
MFT32483
CA
174400000X
Specialist
A534670
CA
174400000X
Specialist
Primary
C50549
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A534672
CA
05
00C505490
CA
01
LCS25407
CA BOARD OF SOCIAL WORKERS
CA
01
PSY21662
CA BOARD OF PSYCHOLOGY
CA
Enumeration date
01/25/2007
Last updated
04/12/2012
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