RAINCROSS MEDICAL GROUP NPI 1538610548

NPI Information

RAINCROSS MEDICAL GROUP is a family nurse practitioner in Riverside, CA. RAINCROSS MEDICAL GROUP NPI is 1538610548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4646 BROCKTON AVE
RIVERSIDE, CA
ZIP 92506-102
Phone: (951) 774-2881
Fax: (951) 774-2846

The provider's authorized official is Deborah Novellino .
The authorized official title is Executive Director and has the following contact phone number (951) 774-2881.

The CLIA number assigned to this NPI record is 05D1013426 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

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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