RIVERSIDE MEDICAL CLINIC INC NPI 1407414329

NPI Information

RIVERSIDE MEDICAL CLINIC INC is a pulmonary disease internal medicine in Corona, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. RIVERSIDE MEDICAL CLINIC INC NPI is 1407414329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2079 COMPTON AVE STE A101
CORONA, CA
ZIP 92881-284
Phone: (951) 371-6600

The provider's authorized official is Mary D Atwood .
The authorized official title is Director, Business Office and has the following contact phone number (951) 782-5136.

The CLIA number assigned to this NPI record is 05D2032794 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2019 and was last updated on 6/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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