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INTERNAL MEDICINE MEDICAL GROUP NPI 1386724433


NPI Information

NPI: 1386724433
Provider Name: INTERNAL MEDICINE MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1866 N ORANGE GROVE AVE
SUITE 202
POMONA, CA
ZIP 91767
Phone: (909) 623-8796
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INTERNAL MEDICINE MEDICAL GROUP is a family medicine in Pomona, 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. INTERNAL MEDICINE MEDICAL GROUP NPI is 1386724433. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1866 N ORANGE GROVE AVE
SUITE 202
POMONA, CA
ZIP 91767-031
Phone: (909) 623-8796

The provider's authorized official is Adrieene M Walker .
The authorized official title is Contracts Administrator and has the following contact phone number (909) 398-1550.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 10/19/2007.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5207Q00000XFamily MedicineYes

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
1CU0713MEDICARE PINCALIFORNIA
2W1165MEDICARE PINCALIFORNIA
3GR0011290MEDICAIDCALIFORNIA

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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