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RIVERSIDE MEDICAL CLINIC INC NPI 1013561810


NPI Information

NPI: 1013561810
Provider Name: RIVERSIDE MEDICAL CLINIC, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1087354

Address:
21634 RETREAT PKWY
CORONA, CA
ZIP 92883
Phone: (951) 683-6370
Get Directions

RIVERSIDE MEDICAL CLINIC, INC is a family medicine in Corona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIVERSIDE MEDICAL CLINIC, INC NPI is 1013561810. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21634 RETREAT PKWY
CORONA, CA
ZIP 92883-100
Phone: (951) 683-6370

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 05D1087354 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/30/2019.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 5/5/2024

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