Internal Medicine Medical Group

LBN: Internal Medicine Medical Group
Internal Medicine Medical Group is an health care organization with primary practice located at 1866 N Orange Grove Ave Suite 102, Pomona CA 91767-3031. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Internal Medicine Medical Group can be contacted via phone (909) 865-0676, or through Walker, Adrienne Marie via phone (909) 398-1550.

Contact Information

Primary practice address
1866 N Orange Grove Ave Suite 102 Pomona CA 91767-3031
Phone: (909) 865-0676
Fax: (909) 865-8483
Website:
Map and Directions
Authorized official contact:
Name: Walker, Adrienne Marie
Phone: (909) 398-1550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1316140619
LBN Legal business name Internal Medicine Medical Group
DBA Doing business as
Authorized official Walker, Adrienne Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Oct 15th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316140619 NPPES
California MEDICAID GR0011290

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