MILL-WATERMAN MEDICAL CORPORATION NPI 1801094149

NPI Information

NPI: 1801094149
Provider Name: MILL-WATERMAN MEDICAL CORPORATION
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
385 E MILL ST STE 13
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 383-0594
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MILL-WATERMAN MEDICAL CORPORATION is an adult medicine family medicine in San Bernardino, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MILL-WATERMAN MEDICAL CORPORATION NPI is 1801094149. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

385 E MILL ST STE 13
SAN BERNARDINO, CA
ZIP 92408-545
Phone: (909) 383-0594

The provider's authorized official is Vu T Truong .
The authorized official title is Vice-president and has the following contact phone number (909) 383-0594.

The enumeration date for this NPI number is 7/9/2007 and was last updated on 7/9/2007.

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	207QA0505X	Family Medicine	Adult Medicine	A80779	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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