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Contact Information

INLAND DERMATOLOGY MEDICAL GROUP INC
1666 NORTH WATERMAN AVENUE
SAN BERNARDINO, CA92404
 Phone: 909-886-4965
 Fax: 909-886-8555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for INLAND DERMATOLOGY MEDICAL GROUP INC

NPI Number 1447327168
LBN Legal business name INLAND DERMATOLOGY MEDICAL GROUP INC
Authorized official LEON SCHWARTZ - (PHYSICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid ZZZ46881Z
CA Other 00A240290 PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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