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Inland Metro Medical Group, INC

Clinic/Center, Multi-Specialty in Ontario, CA. Organization (NPI-2).

NPI number1164042024
StatusActive
Last updated in NPPESJul 16, 2020

Details

NPI
1164042024
Entity type
Organization (NPI-2)
Legal business name
Inland Metro Medical Group, INC
Organization subpart
No
Enumeration date
Apr 21, 2020
Certification date
Jul 16, 2020
Last updated
Jul 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Practice location

3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997

Phone 909-265-9500

Mailing address

3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997

Phone 909-265-9500

Authorized official

Yury Furman
President
2136834800

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