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REDLANDS YUCAIPA MEDICAL GROUP INC. NPI 1316219868


NPI Information

NPI: 1316219868
Provider Name: REDLANDS YUCAIPA MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2055661

Address:
33423 YUCAIPA BLVD
SUITE D
YUCAIPA, CA
ZIP 92399
Phone: (909) 790-7070
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REDLANDS YUCAIPA MEDICAL GROUP, INC. is a family medicine in Yucaipa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REDLANDS YUCAIPA MEDICAL GROUP, INC. NPI is 1316219868. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

33423 YUCAIPA BLVD
SUITE D
YUCAIPA, CA
ZIP 92399-064
Phone: (909) 790-7070

The provider's authorized official is Walter Jones .
The authorized official title is President and has the following contact phone number (909) 790-7070.

The CLIA number assigned to this NPI record is 05D2055661 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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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