Mill Medical Clinic INC
Clinic/Center, Primary Care in San Bernardino, CA. Organization (NPI-2).
NPI number1710074877
StatusActive
Last updated in NPPESAug 21, 2014
Details
- NPI
- 1710074877
- Entity type
- Organization (NPI-2)
- Legal business name
- Mill Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2006
- Last updated
- Aug 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | A383760 | CA | Yes |
Other names
- Mill Medical Clinic (Doing Business As)
Practice location
1292 W Mill StSuite 105
San Bernardino, CA 92410-2500
Phone 909-383-9440 · Fax 909-383-9443
Mailing address
1292 W Mill StSuite 105
San Bernardino, CA 92410-2500
Phone 909-253-0841 · Fax 909-521-7154
Authorized official
Paul C Kintanar
Office Manager
9092530841
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