Healthcare Provider Details
I. General information
NPI: 1104085877
Provider Name (Legal Business Name): CURE ME MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2008
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44105 JACKSON ST UNIT B
INDIO CA
92201-3275
US
IV. Provider business mailing address
3200 INLAND EMPIRE BLVD SUITE 275
ONTARIO CA
91764-5513
US
V. Phone/Fax
- Phone: 760-863-5432
- Fax: 760-863-5492
- Phone: 909-373-2412
- Fax: 909-373-2417
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YONG
T
LEE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 323-731-0681