is a Addiction Medicine in San Bernardino, California. practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for is 1063679017. The last update date is .
's current location address is 351 Nmt View Ave Floor 3, San Bernardino, California. You can contact this provider via phone number 9093876225. The mailing address for is 351 Nmt View Ave Floor 3, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 351 Nmt View Ave Floor 3, San Bernardino, California |
| Phone Number | 9093876225 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063679017 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 351 Nmt View Ave Floor 3 |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924150003 |
| Phone Number | 9093876225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | A113239 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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