OrganizationInland Psychiatric Medical Group, IncPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1771 W Romneya Dr Ste D, Anaheim, CA 92801-1817(949) 582-5532(909) 289-4075PECOS 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 4 days ago.Profile DetailsProvider ID1699363325Provider TypeOrganizationFull NameInland Psychiatric Medical Group, IncSubpartNoEnumeration Date1/7/2021Last Updated1/7/2021Contact InformationPractice LocationPractice Address1771 W Romneya Dr Ste D, Anaheim, CA 92801-1817Phone(949) 582-5532Fax(949) 582-3565Mailing LocationMailing Address1809 W Redlands Blvd, Redlands, CA 92373-8054Phone(909) 289-4075Fax(909) 363-8233Authorized OfficialNameGutierrez, Amber (Provider Relations)Phone(909) 289-4075Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer