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

Southern California Orthopedic Medical Group Inc

Organization Chiropractor · NPI 1407082159

Southern California Orthopedic Medical Group Inc is a Chiropractor in Ontario, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
6
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

3602 Inland Empire Blvd Ste B 120
Ontario, CA 91764-4900
Phone: (909) 941-3986
Fax: (909) 941-3988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Chiropractor Taxonomy 111N00000X
Acupuncturist Taxonomy 171100000X
Specialist Taxonomy 174400000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X

Record details

NPI number1407082159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Miles — Owner · (909) 941-3986
NPI enumeratedJune 9, 2009
Last updated in NPPESAugust 31, 2016
Mailing address3602 Inland Empire Blvd, Suite B 120, Ontario, CA 91764-4900

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