Unknown Individual – Family Medicine Physician, NPI 1477516631
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
18575 GALE AVE STE 205
CITY OF INDUSTRY, CA 917481383
Phone: (626) 964-3900
Fax: (626) 964-2229
Type: Location
North Mountain Avenue, Upland, San Bernardino County, California, 91784, United States
#B
UPLAND, CA 917863695
Phone: (626) 964-3900
Fax: (626) 964-2229
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91748)
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