Organization
TRI-INDUSTRIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER CARLI M.D (OWNER MEDICAL DIRECTOR)
(951) 360-8333
Entity
Organization
Contact information
Practice address
10427 SAN SEVAINE WAY STE J, MIRA LOMA, CA 91752-1151
(951) 360-8333
(951) 360-1401
Mailing address
10427 SAN SEVAINE WAY STE J, MIRA LOMA, CA 91752-1151
(951) 360-8333
(951) 360-1401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A037286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205943354
NPI
CA
Enumeration date
02/12/2007
Last updated
08/22/2020
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