Yucaipa Family Medical Group, Inc. in Yucaipa - Non-pharmacy Dispensing Site
Yucaipa Family Medical Group, Inc. - NPI 1972646784
Yucaipa Family Medical Group, Inc. is a Non-pharmacy Dispensing Site in Yucaipa, California. Yucaipa Family Medical Group, Inc. practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Yucaipa Family Medical Group, Inc. is 1972646784. The last update date is 2012-10-17.
Yucaipa Family Medical Group, Inc.'s current location address is 34636 County Line Rd, Yucaipa, California. You can contact this provider via phone number 9097954440. The mailing address for Yucaipa Family Medical Group, Inc. is 34636 County Line Rd, Yucaipa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Yucaipa Family Medical Group, Inc. |
|---|---|
| Address | 34636 County Line Rd, Yucaipa, California |
| Phone Number | 9097954440 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Heine Kenny |
| Telephone Number | 8586252990 |
NPI Number Detail
| NPI Number | 1972646784 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2012-10-17 |
Provider Mailing Address Detail
| Address | 34636 County Line Rd |
|---|---|
| City | Yucaipa |
| State | California (CA) |
| Post Code | 923995393 |
| Phone Number | 9097954440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 20A6282 |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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What is the Yucaipa Family Medical Group, Inc.'s unique identification number?
The Yucaipa Family Medical Group, Inc. has been assigned the NPI (National Provider Identifier) Number 1972646784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Yucaipa Family Medical Group, Inc. located?
The Yucaipa Family Medical Group, Inc. is located at 34636 County Line Rd, Yucaipa, CA 923995393.
What is Yucaipa Family Medical Group, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Yucaipa Family Medical Group, Inc. is Non-pharmacy Dispensing Site, and the taxonomy code that categorizes this field of expertise is 332900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972646784 to Yucaipa Family Medical Group, Inc.?
The Yucaipa Family Medical Group, Inc. received its 1972646784 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the Yucaipa Family Medical Group, Inc.'s details last updated?
The information pertaining to the Yucaipa Family Medical Group, Inc., including its address, specialty, and other details, was most recently updated on 2012-10-17.