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POMONA VALLEY MEDICAL GROUP INC. NPI 1902903388


NPI Information

NPI: 1902903388
Provider Name: POMONA VALLEY MEDICAL GROUP, INC.

Doing Business As: PROMED HEALTH NETWORK

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4150 E. CONCOURS STREET
SUITE 100
ONTARIO, CA
ZIP 91764
Phone: (909) 932-1045
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POMONA VALLEY MEDICAL GROUP, INC. is a specialist in Ontario, 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. POMONA VALLEY MEDICAL GROUP, INC. NPI is 1902903388. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Promed Health Network.

The provider's business location address is:

4150 E. CONCOURS STREET
SUITE 100
ONTARIO, CA
ZIP 91764-989
Phone: (909) 932-1045
Fax: (909) 931-5077

The provider's authorized official is Richard Carpe .
The authorized official title is Director Of Managed Care Finance and has the following contact phone number (909) 932-1045.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/29/2009.


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
1174400000XSpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.