JUSTINA M. BRESENO M.D. INC. NPI 1225186505

NPI Information

NPI: 1225186505
Provider Name: JUSTINA M. BRESENO, M.D., INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6485 DAY ST STE 103
RIVERSIDE, CA
ZIP 92507
Phone: (951) 653-1683
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JUSTINA M. BRESENO, M.D., INC. is a primary care clinic center in Riverside, CA. JUSTINA M. BRESENO, M.D., INC. NPI is 1225186505. The provider is registered as an organization entity type.

The provider's business location address is:

6485 DAY ST STE 103
RIVERSIDE, CA
ZIP 92507-930
Phone: (951) 653-1683

The provider's authorized official is Justina M. Breseno .
The authorized official title is President and has the following contact phone number (951) 653-1683.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.

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	261QP2300X	Clinic/Center	Primary Care	A50599	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

NPI Synchronization or Removal

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