institution
San Marcos Medical Group Inc.
Family Nurse Practitioner in San Bernardino, California
NPI 1184674830

San Marcos Medical Group Inc. is a Family Nurse Practitioner based in San Bernardino, CA and is specialized in Family. San Marcos Medical Group Inc. practices in San Bernardino, CA. The NPI Number for San Marcos Medical Group Inc. is 1184674830 and holds a License No. (California).

The current practice location address for San Marcos Medical Group Inc. is 1574 W Base Line St, San Bernardino, CA and can be reached out via phone at 909-881-7320 and via fax at 909-881-7330. You can also correspond with San Marcos Medical Group Inc. through the mailing address at 1574 W BASE LINE ST, SAN BERNARDINO, CA - 92411-1736 (mailing address contact number: 909-881-7320).

Location: 1574 W Base Line St, San Bernardino, CA, 92411-1736
institution
Provider Profile Details
NPI Number
1184674830
Provider Name
San Marcos Medical Group Inc.
Credential
Provider Entity Type
Organization
Address
1574 W Base Line St, San Bernardino, CA, 92411-1736
Phone Number
909-881-7320
Fax Number
909-881-7330
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295384428 05 CA
CA482046 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1574 W Base Line St
City
State
Zip
92411-1736
Phone Number
909-881-7320
Fax Number
909-881-7330
person
Provider Business Mailing Address Details
Address
1574 W Base Line St
City
State
Zip
92411-1736
Phone Number
909-881-7320
Fax Number
909-881-7330
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
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Definition
Definition to come...
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