IAM MEDICAL CLINIC NPI 1659613693

NPI Information

  • NPI: 1659613693
  • Provider Name: IAM MEDICAL CLINIC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 5250 UNIVERSITY PKWY
    A
    SAN BERNARDINO, CA
    ZIP 92407
  • Phone: (909) 684-9334

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NPI Details

IAM MEDICAL CLINIC is a general practice in San Bernardino, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IAM MEDICAL CLINIC NPI is 1659613693. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5250 UNIVERSITY PKWY
A
SAN BERNARDINO, CA
ZIP 92407-051
Phone: (909) 684-9334
Fax: (909) 463-1426

The provider's authorized official is Chioma Kalu .
The authorized official title is Director and has the following contact phone number (909) 684-9334.

The enumeration date for this NPI number is 3/16/2013 and was last updated on 3/16/2013.

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
1208D00000XGeneral PracticeA102218CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11336387018MEDICAIDCALIFORNIA

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: 11/21/2025

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