OrganizationInland Psychiatric Medical Group, IncPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address540 W Baseline Rd, Suite 3, Claremont, CA 91711-1612(909) 625-7175PECOS EnrollmentBased on the most recent information from CMS, provider Inland Psychiatric Medical Group, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1336463520Provider TypeOrganizationFull NameInland Psychiatric Medical Group, IncSubpartNoEnumeration Date3/17/2010Last Updated11/19/2018Contact InformationPractice LocationPractice Address540 W Baseline Rd, Suite 3, Claremont, CA 91711-1612Phone(909) 625-7175Fax(909) 625-7268Mailing LocationMailing Address1809 W Redlands Blvd, Redlands, CA 92373-8054PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameArzate, Gloria (Credentialing)Phone(909) 289-4075Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode103TC0700XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer