Inland Empire Extra Care

LBN: Inland Empire Extra Care
Inland Empire Extra Care is an health care organization with primary practice located at 10841 White Oak Ave Suite 107, Rancho Cucamonga CA 91730-3811. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Inland Empire Extra Care can be contacted via phone (909) 483-8361, or through Azzawi, Zaher via phone (909) 483-8361.

Contact Information

Primary practice address
10841 White Oak Ave Suite 107 Rancho Cucamonga CA 91730-3811
Phone: (909) 483-8361
Fax: (909) 483-2070
Website:
Map and Directions
Authorized official contact:
Name: Azzawi, Zaher Doctor of Medicine (MD)
Phone: (909) 483-8361

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X A48743 California
Managed Care Organizations / Preferred Provider Organization 305R00000X A48743 California

Profile Details

NPI number 1942590351
LBN Legal business name Inland Empire Extra Care
DBA Doing business as
Authorized official Azzawi, Zaher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2011
Last updated Apr 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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