Elite Medical Group Gp

NPI #1295419067 in Upland, California

Provider Information

NPI Number: 1295419067
Entity Type: Organization
Organization Name: Elite Medical Group Gp
Primary Specialty: Hospitalist
Enumeration Date: Jun 13, 2023
Last Updated: Jun 13, 2023

Practice Location

Address: 901 SAN BERNARDINO RD STE 300
City: Upland
State: California
ZIP Code: 91786-7299
Phone: (918) 809-2411

Authorized Official

Name: TRACY VAN SLYKE
Title: CREDENTIALING
Phone: (918) 809-2411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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