BENACARE MEDICAL CENTER INC NPI 1427101369

NPI Information

BENACARE MEDICAL CENTER, INC is a family medicine in Upland, 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. BENACARE MEDICAL CENTER, INC NPI is 1427101369. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

984 W FOOTHILL BLVD
UPLAND, CA
ZIP 91786-700
Phone: (909) 373-8222
Fax: (877) 803-0308

The provider's authorized official is Melinda Benavidez .
The authorized official title is Administrator and has the following contact phone number (909) 373-8222.

The CLIA number assigned to this NPI record is 05D1021025 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/2/2014.

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:

Other Identifiers

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