Provider Demographics
NPI:1912475914
Name:WJ MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:WJ MEDICAL SERVICES INC
Other - Org Name:SAN BERNARDINO COMMUNITY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:909-228-4221
Mailing Address - Street 1:PO BOX 7837
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92375-0837
Mailing Address - Country:US
Mailing Address - Phone:909-748-6569
Mailing Address - Fax:909-474-9300
Practice Address - Street 1:103 E HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3603
Practice Address - Country:US
Practice Address - Phone:909-453-3488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care