Fontana Family Medical Center

LBN: Neonatology Medical Group Inc
Fontana Family Medical Center is an health care organization with primary practice located at 17264 Foothill Blvd Ste A B, Fontana CA 92335-9051. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Neonatology Medical Group Inc can be contacted via phone (909) 428-3900, or through Muraligopal, Grace Escobal via phone (909) 790-5071.

Contact Information

Primary practice address
17264 Foothill Blvd Ste A B Fontana CA 92335-9051
Phone: (909) 428-3900
Fax: (909) 428-3903
Website:
Map and Directions
Authorized official contact:
Name: Muraligopal, Grace Escobal
Phone: (909) 790-5071

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X

Profile Details

NPI number 1851404693
LBN Legal business name Neonatology Medical Group Inc
DBA Doing business as Fontana Family Medical Center
Authorized official Muraligopal, Grace Escobal
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 13th, 2008 - about 16 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 1851404693 NPPES
California MEDICAID GR0004461

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