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GREEN RIVER MEDICAL & AESTHETIC CENTRE INC. NPI 1598027112


NPI Information

NPI: 1598027112
Provider Name: GREEN RIVER MEDICAL & AESTHETIC CENTRE INC.

Doing Business As: FAMILY & AESTHETIC CLINIC

Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

Address:
2791 GREEN RIVER #103
CORONA, CA
ZIP 92882
Phone: (951) 735-5570
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GREEN RIVER MEDICAL & AESTHETIC CENTRE INC. is an ambulatory family planning facility clinic center in Corona, CA. The provider is an abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. GREEN RIVER MEDICAL & AESTHETIC CENTRE INC. NPI is 1598027112. The provider is registered as an organization entity type.
The provider Is Doing Business As Family & Aesthetic Clinic.

The provider's business location address is:

2791 GREEN RIVER #103
CORONA, CA
ZIP 92882-426
Phone: (951) 735-5570
Fax: (951) 735-5572

The provider's authorized official is Richard B Mantell .
The authorized official title is C.o.o and has the following contact phone number (951) 735-5570.

The enumeration date for this NPI number is 6/11/2012 and was last updated on 8/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityNPF20032CALIFORNIAYes

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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