Organization Active NPI

Inland Care Medical Group Inc

  • Surgery Physician
  • Chino, CA
National Provider Identifier
1750636718
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INLAND CARE MEDICAL GROUP INC
Practice address
13768 Roswell Ave
Suite 218
Chino, CA 91710-1401
Phone
(949) 464-9119
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Honzen Ou
Title
MD
Phone
(949) 464-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

13768 Roswell Ave
Suite 218
Chino, CA 91710-1401

Mailing address

13768 Roswell Ave
Suite 218
Chino, CA 91710-1401
Phone (949) 464-9119

National Provider Directory

National Provider Directory

Locations

13768 Roswell Ave
Ste 218
Chino, CA 91710
Phone (909) 464-9119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1750636718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 218",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "949-464-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 218",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "949-464-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "HONZEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "949-464-9119"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.