| San Bernardino Medical Group Inc | |
|
1700 North Waterman Avenue San Bernardino CA 92404-5105 | |
| (909) 883-8611 | |
| (909) 886-1798 |
| Full Name | San Bernardino Medical Group Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1700 North Waterman Avenue, San Bernardino, California |
| Authorized Official Name and Position | James W Malin (CEO) |
| Authorized Official Contact | 9098838611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Bernardino Medical Group Inc 1700 North Waterman Avenue San Bernardino CA 92404-5105 Ph: (909) 883-8611 | San Bernardino Medical Group Inc 1700 North Waterman Avenue San Bernardino CA 92404-5105 Ph: (909) 883-8611 |
| NPI Number | 1558331231 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558331231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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