Provider Demographics
NPI:1952728750
Name:INTERNATIONAL PHYSICIANS MANAGEMENT SERVICES
Entity type:Organization
Organization Name:INTERNATIONAL PHYSICIANS MANAGEMENT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:STEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-338-9882
Mailing Address - Street 1:PO BOX 1139
Mailing Address - Street 2:
Mailing Address - City:CRESTLINE
Mailing Address - State:CA
Mailing Address - Zip Code:92325-1139
Mailing Address - Country:US
Mailing Address - Phone:909-338-9882
Mailing Address - Fax:909-338-9883
Practice Address - Street 1:22911 CREST FOREST DRIVE
Practice Address - Street 2:
Practice Address - City:CRESTLINE
Practice Address - State:CA
Practice Address - Zip Code:92325-1139
Practice Address - Country:US
Practice Address - Phone:909-338-9882
Practice Address - Fax:909-338-9883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty