PITUCK MEDICAL GROUP, INC. is a prescribing (medical) psychologist in Riverside, CA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. PITUCK MEDICAL GROUP, INC. NPI is 1255544557. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5858 MAGNOLIA AVE STE C
RIVERSIDE, CA
ZIP 92506-886
Phone: (714) 223-0396
Fax: (714) 223-0397
The provider's authorized official is Michele Severson .
The authorized official title is Administrator and has the following contact phone number (714) 223-0396.
The enumeration date for this NPI number is 5/7/2007 and was last updated on 12/4/2008.