San Marcos Medical Group in Fontana - Occupational Medicine
San Marcos Medical Group - NPI 1689717613
San Marcos Medical Group is a Occupational Medicine in Fontana, California. San Marcos Medical Group practices all healthcare services and medical treatments related to Occupational Medicine. The NPI Number for San Marcos Medical Group is 1689717613. The last update date is 2020-08-22.
San Marcos Medical Group's current location address is 10444 Liveoak Ave., Fontana, California. You can contact this provider via phone number 9097708293 and fax number 9097708298. The mailing address for San Marcos Medical Group is 10444 Liveoak Ave., Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Marcos Medical Group |
|---|---|
| Address | 10444 Liveoak Ave., Fontana, California |
| Phone Number | 9097708293 |
| Fax Number | 9097708298 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Rezk Azer |
| Telephone Number | 9093767715 |
NPI Number Detail
| NPI Number | 1689717613 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10444 Liveoak Ave. |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923377219 |
| Phone Number | 9097708293 |
| Fax Number | 9097708298 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Medicine |
|---|---|
| Taxonomy | 261Qx0100X |
| Licence No | A040591 |
|
Definition: Prevents, diagnoses and treats work-related injuries and illnesses. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A045091 | CA | MEDICAL LISCENCE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to San Marcos Medical Group by the Centers for Medicare & Medicaid Services?
The San Marcos Medical Group has been assigned the NPI (National Provider Identifier) 1689717613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where San Marcos Medical Group is located?
The San Marcos Medical Group is situated at the following address: 10444 Liveoak Ave., Fontana, CA, 923377219.
What is the San Marcos Medical Group's specialty and taxonomy code?
The San Marcos Medical Group's specialty is Occupational Medicine, and the corresponding taxonomy code is 261Qx0100X.
On what date did San Marcos Medical Group receive its 1689717613 assignment from the Centers for Medicare & Medicaid Services?
The San Marcos Medical Group was assigned its 1689717613 on 2007-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to San Marcos Medical Group most recently updated or refreshed?
The details pertaining to the San Marcos Medical Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.