Provider Demographics
NPI:1457680555
Name:ALL-N-1 MED CORP
Entity Type:Organization
Organization Name:ALL-N-1 MED CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:IAIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-697-4171
Mailing Address - Street 1:5001 WILSHIRE BLVD
Mailing Address - Street 2:STE 112-623
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-6104
Mailing Address - Country:US
Mailing Address - Phone:909-697-4171
Mailing Address - Fax:909-614-7345
Practice Address - Street 1:9375 ARCHIBALD AVE
Practice Address - Street 2:STE 205
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5729
Practice Address - Country:US
Practice Address - Phone:909-697-4171
Practice Address - Fax:909-614-7345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG848262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty