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INLAND EMPIRE SPINAL DECOMPRESSION CENTERS NPI 1043481450


NPI Information

NPI: 1043481450
Provider Name: INLAND EMPIRE SPINAL DECOMPRESSION CENTERS

Doing Business As: INLAND VALLEY SPINAL DECOMPRESSION CENTERS

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
203 W G ST
STE B
ONTARIO, CA
ZIP 91762
Phone: (909) 986-1611
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INLAND EMPIRE SPINAL DECOMPRESSION CENTERS is a health service clinic center in Ontario, CA. INLAND EMPIRE SPINAL DECOMPRESSION CENTERS NPI is 1043481450. The provider is registered as an organization entity type.
The provider Is Doing Business As Inland Valley Spinal Decompression Centers.

The provider's business location address is:

203 W G ST
STE B
ONTARIO, CA
ZIP 91762-227
Phone: (909) 986-1611
Fax: (909) 467-5594

The provider's authorized official is Victor Hugo Fantasia .
The authorized official title is Cfo and has the following contact phone number (909) 986-1611.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth Service15464CALIFORNIAYes

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
11366626707OTHERCALIFORNIAINDIVIDUAL NPI NUMBER

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: 11/14/2023

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