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INNOVAGE HEALTH PARTNERS INC. NPI 1992170575


NPI Information

NPI: 1992170575
Provider Name: INNOVAGE HEALTH PARTNERS, INC.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
410 E PARKCENTER CIR N
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 890-2800
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INNOVAGE HEALTH PARTNERS, INC. is a geriatric medicine internal medicine in San Bernardino, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. INNOVAGE HEALTH PARTNERS, INC. NPI is 1992170575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 E PARKCENTER CIR N
SAN BERNARDINO, CA
ZIP 92408-869
Phone: (909) 890-2800
Fax: (909) 890-9615

The provider's authorized official is Vanessa D Walton .
The authorized official title is Chief Legal Officer and has the following contact phone number (720) 974-2459.

The enumeration date for this NPI number is 12/8/2015 and was last updated on 12/8/2015.


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
1207RG0300XInternal MedicineGeriatric Medicine53735CALIFORNIAYes

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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