Organization
CEDAR POINTE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY ELIAS (MEDICAL DIRECTOR)
(760) 946-5177
Entity
Organization
Contact information
Practice address
229 N LAUREL AVE, ONTARIO, CA 91762-3500
(909) 988-2554
(909) 988-2554
Mailing address
229 N LAUREL AVE, ONTARIO, CA 91762-3500
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A137960
CA
207X00000X
Orthopaedic Surgery Physician
A122000
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A86043
CA
208VP0000X
Pain Medicine Physician
A130159
CA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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