NPI 1023400322 INTEGRATED MEDICAL CENTER OF CORONA INC. CORONA CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Integrated Medical Center Of Corona Inc. - NPI: 1023400322

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: INTEGRATED MEDICAL CENTER OF CORONA INC.
NPI Number: 1023400322
Entity Type Code: Organizational (2)
Authorized Official Name: TERRY LEE SANDERFER
(PERSIDENT)
Mailing Address: 2250 S Main St Suite 203
Corona
State: CA US
Postal Code: 928822534
Phone Number: 9517371252
Fax Number: 9517372820
NPI Enumeration Date: 02/23/2015
NPI Last Update Date: 02/23/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QM1300X
License Number: 39736MD
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Multi-Specialty
Taxonomy Definition:


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