Organization
INLAND EMPIRE ANESTHESIA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E. COMUNALE MD (PRESIDENT)
(909) 580-2440
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, DEPARTMENT OF ANESTHESIA, COLTON, CA 92324-1801
(909) 580-2440
(909) 580-2441
Mailing address
310 N INDIAN HILL BLVD # 601, INLAND EMPIRE ANESTHESIA MEDICAL GROUP, CLAREMONT, CA 91711-4611
(909) 580-2440
(909) 580-2441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
GR0012030
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
GR0012030
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
GR0012030
CA
Other
Enumeration date
08/30/2006
Last updated
03/21/2008
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