County Of San Bernardino
Specialty details in registry · San Bernardino, CA
At a glance
658 E Brier Dr Suite 200, San Bernardino, CA 92415-0920
NPPES record updated Apr 27, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
658 E Brier Dr Suite 200San Bernardino, CA 92415-0920
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0855X
- Enumeration date
- Oct 2, 2007
- Record updated
- Apr 27, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0855X · Primary
License reported: ZZZ74743Z CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
658 E Brier Dr Suite 200San Bernardino, CA 92415-0920
- Phone
- (909) 501-0700
- Fax
- (909) 381-2330
Mailing address
303 E VANDERBILT WAYSAN BERNARDINO, CA 924150026
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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