COUNTY OF RIVERSIDE NPI 1265505762

NPI Information

NPI: 1265505762
Provider Name: COUNTY OF RIVERSIDE
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Doing Business As: LA GRANADA MEDICAL THERAPY UNIT
Address: 10353 GRAMERCY PL
RIVERSIDE, CA
ZIP 92505
Phone: (951) 687-3113

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NPI Details

COUNTY OF RIVERSIDE is a public health or welfare in Riverside, CA. COUNTY OF RIVERSIDE NPI is 1265505762. The provider is registered as an organization entity type.
The provider Is Doing Business As La Granada Medical Therapy Unit.

The provider's business location address is:

10353 GRAMERCY PL
RIVERSIDE, CA
ZIP 92505-334
Phone: (951) 687-3113
Fax: (951) 359-1747

The provider's authorized official is Geoffrey Won-chen Leung .
The authorized official title is Pho - Admin Physician Iii and has the following contact phone number (951) 358-5121.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 10/21/2024.

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	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CCS00030F	OTHER	CALIFORNIA	MEDI-CAL PROVIDER NUMBER

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: 11/21/2025

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