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General NPI Number Information
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NPI Number | 1033927918
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL CENTERS INC.
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 473 E CARNEGIE DRIVE SUITE 200
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City | SAN BERNARDINO
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State | CA
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Zip | 92480
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Country | US
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Telephone | 909-244-7430
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Fax | 909-495-1380
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Provider Business Mailing Address
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Address Line | 14404 AMOROSA CT
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City | BEAUMONT
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State | CA
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Zip | 92223
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Country | US
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Telephone | 909-244-7430
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Fax | 909-495-1380
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Authorized Official
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Title or Position | CEO
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Name | DR. AKIL PETER SIMON
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Credential | MD
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Telephone | 909-244-7430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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