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INLAND HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC NPI 1467437848


NPI Information

NPI: 1467437848
Provider Name: INLAND HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC

Doing Business As: ZZZ80927Z

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 05D0685032

Address:
401 E HIGHLAND AVE STE C
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 886-6806
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INLAND HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC is a hematology and oncology internal medicine in San Bernardino, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. INLAND HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC NPI is 1467437848. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Zzz80927z.

The provider's business location address is:

401 E HIGHLAND AVE STE C
SAN BERNARDINO, CA
ZIP 92404-834
Phone: (909) 886-6806
Fax: (909) 883-8132

The provider's authorized official is Rajiv Malik .
The authorized official title is Owner and has the following contact phone number (909) 886-6806.

The CLIA number assigned to this NPI record is 05D0685032 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 4/4/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyA52073CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CP2041OTHERCALIFORNIARAILROAD MEDICARE
2ZZZ80927Z22MEDICAIDCALIFORNIA

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

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