PROGRESSIVE OB/GYN MEDICAL GROUP INC NPI 1992460794

NPI Information

PROGRESSIVE OB/GYN MEDICAL GROUP INC is an obstetrics gynecology in San Bernardino, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROGRESSIVE OB/GYN MEDICAL GROUP INC NPI is 1992460794. The provider is registered as an organization entity type.

The provider's business location address is:

1800 WESTERN AVE STE 101
SAN BERNARDINO, CA
ZIP 92411-352
Phone: (909) 885-1542

The provider's authorized official is George H Small .
The authorized official title is Owner and has the following contact phone number (909) 528-3639.

The CLIA number assigned to this NPI record is 05D2008399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2021 and was last updated on 11/6/2021.

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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