INLAND EMPIRE MEDICAL GROUP INC NPI 1417578790

NPI Information

NPI: 1417578790
Provider Name: INLAND EMPIRE MEDICAL GROUP, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
506 W GRAHAM AVE STE 107
LAKE ELSINORE, CA
ZIP 92530
Phone: (909) 581-5447
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INLAND EMPIRE MEDICAL GROUP, INC is a primary care clinic center in Lake Elsinore, CA. INLAND EMPIRE MEDICAL GROUP, INC NPI is 1417578790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

506 W GRAHAM AVE STE 107
LAKE ELSINORE, CA
ZIP 92530-665
Phone: (909) 581-5447

The provider's authorized official is Thomas Oliveira .
The authorized official title is Medical Director and has the following contact phone number (909) 581-5447.

The enumeration date for this NPI number is 4/28/2020 and was last updated on 4/28/2020.

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
1	208D00000X	General Practice				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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