Crown City Medical Group

LBN: Crown City Medical Group
Crown City Medical Group is an health care organization with primary practice located at 1800 N Western Ave Suite 403, San Bernardino CA 92411. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Crown City Medical Group can be contacted via phone (909) 887-3087, or through Tyson, Maureen B via phone (626) 798-8792.

Contact Information

Primary practice address
1800 N Western Ave Suite 403 San Bernardino CA 92411
Phone: (909) 887-3087
Fax: (909) 887-2974
Website:
Map and Directions
Authorized official contact:
Name: Tyson, Maureen B
Phone: (626) 798-8792

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1649602384
LBN Legal business name Crown City Medical Group
DBA Doing business as
Authorized official Tyson, Maureen B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2013
Last updated Aug 5th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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