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1952269169 NPI number — CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.

NPI Number: 1952269169
Health Care Provider/Practitioner: CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.

Information about “1952269169” NPI (CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.) exists in 1952269169 in HTML format HTML  |  1952269169 in plain Text format TXT  |  1952269169 in PDF (Portable Document Format) PDF  |  1952269169 in an XML format XML  formats.

NPI Number : 1952269169 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952269169",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.",
    "ParentOrgTIN": null,
    "OrgName": "CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "402 E HOLT BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ONTARIO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91761-1618",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-467-1605",
    "MailingAddressFaxNumber": "909-467-1608",
    "FirstLinePracticeLocationAddress": "23900 IRONWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORENO VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92557-7151",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-485-2570",
    "PracticeLocationAddressFaxNumber": "951-485-2070",
    "EnumerationDate": "01/14/2026",
    "LastUpdateDate": "01/14/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LOZANO",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "909-467-1605",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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