Organization
INLAND VALLEY MED SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOLITA TUVERA REYES M.D. (PRESIDENT)
(909) 709-2045
Entity
Organization
Contact information
Practice address
491 S LASALLE STREET, REDLANDS, CA 92374-6472
(909) 792-2086
Mailing address
491 LASALLE STREET, REDLANDS, CA 92374-6472
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
EM018A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609993708
NPI
CA
01
—
1891983730
NPI
CA
01
—
1982603742
NPI
CA
01
—
PA17755
OTHER, PHYSICIAN ASSISTANT
CA
Enumeration date
10/04/2007
Last updated
12/21/2011
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