Provider Demographics
NPI:1275512337
Name:FEMCARE MEDICAL ASSOCIATES OF INLAND VALLEY, INC A PROF CORP
Entity Type:Organization
Organization Name:FEMCARE MEDICAL ASSOCIATES OF INLAND VALLEY, INC A PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-622-5654
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-0027
Mailing Address - Country:US
Mailing Address - Phone:909-622-5654
Mailing Address - Fax:
Practice Address - Street 1:160 E ARTESIA ST
Practice Address - Street 2:SUITE 330
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2900
Practice Address - Country:US
Practice Address - Phone:909-622-5654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0091180Medicaid
CAH74075Medicare UPIN
CAGR0091180Medicaid
CAH25514Medicare UPIN