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RIVERSIDE NEUROLOGY INC NPI 1508059007


NPI Information

NPI: 1508059007
Provider Name: RIVERSIDE NEUROLOGY INC

Other Name: WASEEM N IBRAHIM MD INC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7172 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504
Phone: (951) 788-2224
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RIVERSIDE NEUROLOGY INC is a specialist in Riverside, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RIVERSIDE NEUROLOGY INC NPI is 1508059007. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Waseem N Ibrahim Md Inc.

The provider's business location address is:

7172 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504-804
Phone: (951) 788-2224
Fax: (951) 788-5190

The provider's authorized official is Waseem N Ibrahim .
The authorized official title is M.d. and has the following contact phone number (951) 788-2224.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 1/24/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA44002CALIFORNIANo
2174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ23297ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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