Healthcare Provider Details

I. General information

NPI: 1437199882
Provider Name (Legal Business Name): INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 E ARROW HWY
UPLAND CA
91786-4951
US

IV. Provider business mailing address

1238 E ARROW HWY
UPLAND CA
91786-4951
US

V. Phone/Fax

Practice location:
  • Phone: 909-982-0099
  • Fax: 909-931-0402
Mailing address:
  • Phone: 909-982-0099
  • Fax: 909-931-0402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG57099
License Number StateCA

VIII. Authorized Official

Name: DR. ERIC C LEE
Title or Position: PRESIDENT
Credential: M D
Phone: 909-982-0099