Yucaipa Family Medical Group, Inc.
NPI #1972646784 in Yucaipa, California
Provider Information
- NPI Number
- 1972646784
- Entity Type
- Organization
- Organization Name
- Yucaipa Family Medical Group, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Oct 17, 2012
Practice Location
- Address
- 34636 COUNTY LINE RD
- Address 2
- #32
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-5393
- Phone
- (909) 795-4440
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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