San Bernardino County Public Health Dept. in Montclair - Pediatrics

San Bernardino County Public Health Dept. - NPI 1891872081

San Bernardino County Public Health Dept. is a Pediatrics in Montclair, California. San Bernardino County Public Health Dept. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for San Bernardino County Public Health Dept. is 1891872081. The last update date is 2015-03-30.

San Bernardino County Public Health Dept.'s current location address is 4825 Moreno St, Montclair, California. You can contact this provider via phone number 9094451665 and fax number 9094451622. The mailing address for San Bernardino County Public Health Dept. is 4825 Moreno St, Montclair, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Bernardino County Public Health Dept.
Address 4825 Moreno St, Montclair, California
Phone Number 9094451665
Fax Number 9094451622
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PUBLIC HEA
Authorized Official Name Ohikhuare Maxwell
Credentials M.D.
Telephone Number 9093876219

NPI Number Detail

NPI Number 1891872081
Provider Enumeration Date 2006-11-01
Last Updated Date 2015-03-30

Provider Mailing Address Detail

Address 4825 Moreno St
City Montclair
State California (CA)
Post Code 917631419
Phone Number 9094451665
Fax Number 9094451622

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CCS00089F CA REHAB CLINIC

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FAQs about San Bernardino County Public Health Dept.

What is the unique 10-digit identifier code assigned to San Bernardino County Public Health Dept. by the Centers for Medicare & Medicaid Services?

The San Bernardino County Public Health Dept. has been issued the NPI (National Provider Identifier) 1891872081 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where San Bernardino County Public Health Dept.'s facilities are situated?

The facilities of San Bernardino County Public Health Dept. are physically located at the following address: 4825 Moreno St, Montclair, CA, 917631419.

What is San Bernardino County Public Health Dept.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for San Bernardino County Public Health Dept. is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.

On what date did the San Bernardino County Public Health Dept. receive the assignment of its 1891872081 from the Centers for Medicare & Medicaid Services?

The San Bernardino County Public Health Dept. was issued its 1891872081 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details pertaining to San Bernardino County Public Health Dept. last refreshed?

The information related to the San Bernardino County Public Health Dept., including its address, specialty, and other relevant details, was last updated on 2015-03-30.

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