Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Inland Empire Medical Group, Inc

Organization General Practice Physician · NPI 1417578790

Inland Empire Medical Group, Inc is a General Practice Physician in Lake Elsinore, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

506 W Graham Ave Ste 107
Lake Elsinore, CA 92530-3665
Phone: (909) 581-5447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1417578790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Oliveira — Medical Director · (909) 581-5447
NPI enumeratedApril 28, 2020
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020
Mailing address219 Calle Moreno, San Dimas, CA 91773-3970

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