| Tri-industrial Medical Center | |
|
10427 San Sevaine Way Ste J Mira Loma CA 91752-1151 | |
| (951) 360-8333 | |
| (951) 360-1401 |
| Full Name | Tri-industrial Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 10427 San Sevaine Way Ste J, Mira Loma, California |
| Authorized Official Name and Position | Alexander Carli (OWNER MEDICAL DIRECTOR) |
| Authorized Official Contact | 9513608333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-industrial Medical Center 10427 San Sevaine Way Ste J Mira Loma CA 91752-1151 Ph: (951) 360-8333 | Tri-industrial Medical Center 10427 San Sevaine Way Ste J Mira Loma CA 91752-1151 Ph: (951) 360-8333 |
| NPI Number | 1851433502 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851433502 | NPI | - | NPPES |
| 1205943354 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A037286 (California) | Primary |