Family Planning Associates Medical Group INC
Clinic/Center, Ambulatory Family Planning Facility in San Bernardino, CA. Organization (NPI-2).
NPI number1104187103
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1104187103
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Planning Associates Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2012
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0005X | Clinic/Center, Ambulatory Family Planning Facility | – | – | Yes |
| 207V00000X | Obstetrics & Gynecology | – | – |
Practice location
164 W Hospitality Ln1a
San Bernardino, CA 92408-3316
Phone 909-382-0201 · Fax 909-495-1321
Mailing address
Po Box 10818San Bernardino, CA 92423-0818
Phone 909-382-0201 · Fax 909-495-1321
Authorized official
Irving M. Feldkamp IV
Owner
9093820201
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