FAMILY PRACTICE MEDICAL GROUP OF SAN BERNARDINO, INC

SAN BERNARDINO, CA
NPI1144351545
Entity TypeOrganization
Authorized ContactRICHARD J MOYER
Medical Director
909-883-8966
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2007-03-08
Last Update Date2008-10-08
Business Address
FAMILY PRACTICE MEDICAL GROUP OF SAN BERNARDINO, INC
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404-4640
Phone number: 909-883-8966
Mailing Address
FAMILY PRACTICE MEDICAL GROUP OF SAN BERNARDINO, INC
1369 E HIGHLAND AVE
SAN BERNARDINO, CA 92404-4640
Phone number: 909-883-8966