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INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP NPI 1598793531


NPI Information

NPI: 1598793531
Provider Name: INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
255 E BONITA AVE
POMONA, CA
ZIP 91767
Phone: (760) 740-0799
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INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP is an infectious disease internal medicine in Pomona, CA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP NPI is 1598793531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

255 E BONITA AVE
POMONA, CA
ZIP 91767-923
Phone: (760) 740-0799
Fax: (760) 740-0799

The provider's authorized official is Daniel P Gluckstein .
The authorized official title is President and has the following contact phone number (760) 740-0799.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 4/20/2008.


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
1207RI0200XInternal MedicineInfectious DiseaseYes

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
1=========OTHERCALIFORNIAPARTNERSHIP TID
2W13072MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GRP #
3GR0059670MEDICAIDCALIFORNIA

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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