| Innovage Health Partners, Inc. | |
|
410 E Parkcenter Cir N San Bernardino CA 92408-2869 | |
| (909) 890-2800 | |
| (909) 890-9615 |
| Full Name | Innovage Health Partners, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 410 E Parkcenter Cir N, San Bernardino, California |
| Authorized Official Name and Position | Vanessa D Walton (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 7209742459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovage Health Partners, Inc. 410 E Parkcenter Cir N San Bernardino CA 92408-2869 Ph: (909) 890-2800 | Innovage Health Partners, Inc. 410 E Parkcenter Cir N San Bernardino CA 92408-2869 Ph: (909) 890-2800 |
| NPI Number | 1992170575 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992170575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 53735 (California) | Primary |
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