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INLAND EMPIRE GASTROENTEROLOGY MEDICAL GROUP INC. NPI 1417988379


NPI Information

NPI: 1417988379
Provider Name: INLAND EMPIRE GASTROENTEROLOGY MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0574492

Address:
40404 CALIFORNIA OAKS RD
SUITE C
MURRIETA, CA
ZIP 92562
Phone: (951) 600-0288
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INLAND EMPIRE GASTROENTEROLOGY MEDICAL GROUP, INC. is a specialist in Murrieta, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INLAND EMPIRE GASTROENTEROLOGY MEDICAL GROUP, INC. NPI is 1417988379. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

40404 CALIFORNIA OAKS RD
SUITE C
MURRIETA, CA
ZIP 92562-786
Phone: (951) 600-0288
Fax: (951) 600-0188

The provider's authorized official is Joel M Wittles .
The authorized official title is President and has the following contact phone number (951) 600-0288.

The CLIA number assigned to this NPI record is 05D0574492 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG48314CALIFORNIANo
2174400000XSpecialistG75943CALIFORNIANo
3174400000XSpecialistG43641CALIFORNIAYes

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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