Organization · Type 2 NPI

San Bernardino County

Primary Care Clinic/Center · Fontana, CA

NPI number 1730934415 Active

Practice location

16888 Baseline Ave
Fontana, CA 92336-2083

Call (855) 422-8029 Map

Mailing address

400 N Pepper Ave
Colton, CA 92324-1819

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

4 other providers at this address

Other primary care clinic/center providers in Fontana

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NPI record

NPI: 1730934415
Entity type: Organization (Type 2)
Issued: Apr 17, 2024
Last updated: Apr 17, 2024
Status: Active
Subpart: Yes of San Bernardino County

Other names

Arrowhead Regional Medical Center · doing business as

Authorized official

Amanda Melissa Moffitt
Administrative Supervisor I
(909) 777-0726

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730934415

San Bernardino County's National Provider Identifier is 1730934415, issued on Apr 17, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fontana, CA. The record was last updated on Apr 17, 2024.