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 , Fontana CA 92335-9050. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Neonatology Medical Group, Inc. can be contacted via phone (909) 428-3900, or through Escobal, Fides P. via phone (909) 428-3900.

Contact Information

Primary practice address
17264 Foothill Blvd Fontana CA 92335-9050
Phone: (909) 428-3900
Fax: (909) 428-3903
Website:
Map and Directions
Authorized official contact:
Name: Escobal, Fides P.
Phone: (909) 428-3900

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X A78188 California

Profile Details

NPI number 1952351074
LBN Legal business name Neonatology Medical Group, Inc.
DBA Doing business as Fontana Family Medical Center
Authorized official Escobal, Fides P.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1952351074 NPPES
California Other 00A296540 MEDI-CAL

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