IRONSTONE MEDICAL CLINIC INC NPI 1851587448

NPI Information

NPI: 1851587448
Provider Name: IRONSTONE MEDICAL CLINIC INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D1084366

Address:
4121 BROCKTON AVE STE 104
RIVERSIDE, CA
ZIP 92501
Phone: (949) 355-4224
Get Directions

IRONSTONE MEDICAL CLINIC INC is a general practice in Riverside, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IRONSTONE MEDICAL CLINIC INC NPI is 1851587448. The provider is registered as an organization entity type.

The provider's business location address is:

4121 BROCKTON AVE STE 104
RIVERSIDE, CA
ZIP 92501-442
Phone: (949) 355-4224
Fax: (951) 778-0051

The provider's authorized official is Sean Ataee .
The authorized official title is C.f.o. and has the following contact phone number (949) 355-4226.

The CLIA number assigned to this NPI record is 05D1084366 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 10/3/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	A106704	CALIFORNIA	No
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	A106704	CALIFORNIA	No
3	208D00000X	General Practice		A106704	CALIFORNIA	Yes

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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