YUCAIPA FAMILY MEDICAL GROUP INC. NPI 1972646784

NPI Information

YUCAIPA FAMILY MEDICAL GROUP, INC. is a non pharmacy dispensing site in Yucaipa, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) YUCAIPA FAMILY MEDICAL GROUP, INC. NPI is 1972646784. The provider is registered as an organization entity type.

The provider's business location address is:

34636 COUNTY LINE RD
#32
YUCAIPA, CA
ZIP 92399-393
Phone: (909) 795-4440

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 10/17/2012.

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:

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