RANCHO INDUSTRIAL MEDICAL GROUP INC. NPI 1033389408

NPI Information

NPI: 1033389408
Provider Name: RANCHO INDUSTRIAL MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
14384 SLOVER AVE
FONTANA, CA
ZIP 92337
Phone: (909) 350-7208
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RANCHO INDUSTRIAL MEDICAL GROUP, INC. is a specialist in Fontana, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RANCHO INDUSTRIAL MEDICAL GROUP, INC. NPI is 1033389408. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14384 SLOVER AVE
FONTANA, CA
ZIP 92337-122
Phone: (909) 350-7208
Fax: (909) 350-7209

The provider's authorized official is Eduardo E Anguizola .
The authorized official title is President and has the following contact phone number (909) 350-7208.

The enumeration date for this NPI number is 3/2/2008 and was last updated on 3/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		27592	CALIFORNIA	No
2	174400000X	Specialist		G39074	CALIFORNIA	No
3	363AM0700X	Physician Assistant	Medical	18783	CALIFORNIA	No
4	363AM0700X	Physician Assistant	Medical	20771	CALIFORNIA	No
5	174400000X	Specialist		A37952	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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