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COMMUNITY PHYSICIANS MEDICAL LLC NPI 1306320700


NPI Information

NPI: 1306320700
Provider Name: COMMUNITY PHYSICIANS MEDICAL LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
406 E VANDERBILT WAY
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 433-0678
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COMMUNITY PHYSICIANS MEDICAL LLC is a multi-specialty clinic center in San Bernardino, CA. COMMUNITY PHYSICIANS MEDICAL LLC NPI is 1306320700. The provider is registered as an organization entity type.

The provider's business location address is:

406 E VANDERBILT WAY
SAN BERNARDINO, CA
ZIP 92408-552
Phone: (909) 433-0678
Fax: (909) 433-0680

The provider's authorized official is Irvin Olivares .
The authorized official title is Manager and has the following contact phone number (909) 433-0678.

The enumeration date for this NPI number is 9/20/2018 and was last updated on 9/20/2018.


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

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