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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
3602 Inland Empire Blvd Ste B120Ontario, CA 91764-4997
Phone 909-265-9500
Mailing address
3602 Inland Empire Blvd Ste B120Ontario, CA 91764-4997
Phone 909-265-9500
Authorized official
Yury Furman
President
2136834800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Multi-Specialty Clinic/Center providers in Ontario, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.