Healthcare Provider Details
I. General information
NPI: 1245587328
Provider Name (Legal Business Name): INLAND FIRST ASSIST INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2012
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4445 MAGNOLIA AVE
RIVERSIDE CA
92501
US
IV. Provider business mailing address
2549B EASTBLUFF DR # 227
NEWPORT BEACH CA
92660-3504
US
V. Phone/Fax
- Phone: 909-816-4155
- Fax:
- Phone: 909-816-4155
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SANDRA
L
UHRIG
Title or Position: NURSE PRACTITIONER/FIRST ASSIST
Credential: NP
Phone: 909-816-4155