INLAND EMPIRE MEDICAL NETWORK (NPI# 1508151705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508151705 |
| Entity Type | Organization |
| Organization Name | INLAND EMPIRE MEDICAL NETWORK |
| Practice Address |
3110 Chino Ave Suite 270 Chino Hills CA 91709-1211 |
| Mailing Address |
840 Towne Center Dr Pomona CA 91767-5900 |
| Practice Telephone | 9094659266 |
| Mailing Telephone | 9093981550 |
| Mailing Fax Number | 9093981573 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | JANET RAM (CREDENTIALING) |
| Authorized Official Telephone | 9094833311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A81117 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295170249 | Inland Empire Medical Network | Health Maintenance Organization | 9140 Haven Ave, Suite 110, Rancho Cucamonga, CA 91730-5414 | 2013-05-03 |
| 1700063625 | Inland Empire Medical Network | Internal Medicine | 430 West Baseline Road, Claremont, CA 91711-1696 | 2008-01-22 |
| 1700103561 | Inland Empire Medical Network | Internal Medicine | 399 E Highland Ave, Suite 110, San Bernardino, CA 92404-3808 | 2010-05-03 |
| Street Address |
3110 CHINO AVE SUITE 270 |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381711 | Michael Deanda | Family Medicine | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1211 | 2005-07-29 |
| 1396167896 | Chino Hills Dentistry | Dentist | 3110 Chino Ave, Suite 260, Chino Hills, CA 91709 | 2014-01-17 |
| 1144651407 | Deanna Schmitt | Physical Therapist | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1211 | 2013-12-11 |
| 1588983654 | Wajiha Khan | Family Medicine | 3110 Chino Ave, 150a, Chino Hills, CA 91709-1211 | 2010-05-27 |
| 1073844650 | Evangeline Obrero | Physician Assistant | 3110 Chino Ave, 150b, Chino Hills, CA 91709-1211 | 2010-01-21 |
| 1396973145 | Pro-body Orthopaedic & Sports Physical Therapy, Inc. | Physical Therapist | 3110 Chino Ave, Suite 270, Chino Hills, CA 91709-1211 | 2009-06-30 |
| 1225294713 | Sula M Safar | Family Medicine | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1211 | 2008-08-04 |
| 1639345861 | John Robert Bottala | Dentist | 3110 Chino Ave, Suite 200, Chino Hills, CA 91709-1211 | 2008-05-07 |
| 1033231402 | Eric John Mccabe | Physical Therapist | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1211 | 2007-04-04 |
| 1104971704 | James M Park | Dentist | 3110 Chino Ave, Suite 240, Chino Hills, CA 91709 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003158544 | Amandeep Singh Sandhu | Dermatology | 3110 Chino Ave Ste 120, Chino Hills, CA 91709-1294 | 2013-03-22 |
| 1306871926 | Patricia Arden Brotman | Dermatology | 15944 Los Serranos Country Club Dr Ste 180, Chino Hills, CA 91709-3990 | 2006-07-12 |
| 1750939153 | Sand Dermatology PC | Dermatology | 3110 Chino Ave Ste 120, Chino Hills, CA 91709-1294 | 2019-08-28 |
| 1558918441 | Sand Dermatology PC | Dermatology | 3110 Chino Ave Ste 120, Chino Hills, CA 91709-1294 | 2019-08-25 |
| 1750634325 | Chaparral Medical Group, Inc. | Dermatology | 3110 Chino Avenue, Suite 270, Chino Hills, CA 91709-1211 | 2012-10-19 |
| 1629003256 | Patricia A Brotman M.d. A Professional Corp | Dermatology | 15944 Los Serranos Country Club Dr Ste 180, Chino Hills, CA 91709-3990 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.