Internal Medicine Medical Group in Fontana - Internal Medicine
Internal Medicine Medical Group - NPI 1164625588
Internal Medicine Medical Group is a Internal Medicine in Fontana, California. Internal Medicine Medical Group practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Internal Medicine Medical Group is 1164625588. The last update date is 2020-08-22.
Internal Medicine Medical Group's current location address is 16465 Sierra Lakes Parkway, Fontana, California. You can contact this provider via phone number 9097708640 and fax number 9097708650. The mailing address for Internal Medicine Medical Group is 16465 Sierra Lakes Parkway, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Internal Medicine Medical Group |
|---|---|
| Address | 16465 Sierra Lakes Parkway, Fontana, California |
| Phone Number | 9097708640 |
| Fax Number | 9097708650 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTRACTS |
|---|---|
| Authorized Official Name | Walker Marie Adrienne |
| Telephone Number | 9093981550 |
NPI Number Detail
| NPI Number | 1164625588 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16465 Sierra Lakes Parkway |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923361242 |
| Phone Number | 9097708640 |
| Fax Number | 9097708650 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Internal Medicine Medical Group by the Centers for Medicare & Medicaid Services (CMS)?
The Internal Medicine Medical Group has been assigned the NPI (National Provider Identifier) 1164625588. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Internal Medicine Medical Group located?
The Internal Medicine Medical Group is located at 16465 Sierra Lakes Parkway, Fontana, CA 923361242.
What is the Internal Medicine Medical Group's area of specialization and corresponding taxonomy classification?
The Internal Medicine Medical Group's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Internal Medicine Medical Group receive its 1164625588 assignment from the Centers for Medicare & Medicaid Services?
The Internal Medicine Medical Group was assigned its 1164625588 by the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date was the information regarding Internal Medicine Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Internal Medicine Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.