Provider Demographics
NPI:1669741195
Name:WEST POINT MEDICAL GROUP, INC
Entity type:Organization
Organization Name:WEST POINT MEDICAL GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ATUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEMBI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-880-6400
Mailing Address - Street 1:1800 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 99
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92411-1218
Mailing Address - Country:US
Mailing Address - Phone:909-880-6400
Mailing Address - Fax:909-880-6445
Practice Address - Street 1:1800 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 99
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92411-1218
Practice Address - Country:US
Practice Address - Phone:909-880-6400
Practice Address - Fax:909-880-6445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty