Provider Demographics
NPI:1306092622
Name:ACCESS HEALTH MEDICAL GROUP, INC
Entity type:Organization
Organization Name:ACCESS HEALTH MEDICAL GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGUIZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-483-3530
Mailing Address - Street 1:10399 LEMON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-3770
Mailing Address - Country:US
Mailing Address - Phone:909-483-3530
Mailing Address - Fax:909-483-5638
Practice Address - Street 1:10399 LEMON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91737-3770
Practice Address - Country:US
Practice Address - Phone:909-483-3530
Practice Address - Fax:909-483-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty