Provider Type Icon

INLAND CENTER MEDICAL GROUP P.C. NPI 1487613766


NPI Information

NPI: 1487613766
Provider Name: INLAND CENTER MEDICAL GROUP, P.C.

Doing Business As: INLAND CENTER MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D0887594

Address:
8330 RED OAK STREET
SUITE 101
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 989-7551
Get Directions

INLAND CENTER MEDICAL GROUP, P.C. is a multi-specialty clinic center in Rancho Cucamonga, CA. INLAND CENTER MEDICAL GROUP, P.C. NPI is 1487613766. The provider is registered as an organization entity type.
The provider Is Doing Business As Inland Center Medical Group.

The provider's business location address is:

8330 RED OAK STREET
SUITE 101
RANCHO CUCAMONGA, CA
ZIP 91730-603
Phone: (909) 989-7551
Fax: (909) 945-5427

The provider's authorized official is Dharmesh S. Mehta .
The authorized official title is Owner and has the following contact phone number (909) 989-7551.

The CLIA number assigned to this NPI record is 05D0887594 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 6/3/2010.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.