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RIVERSIDE RADIOLOGY MEDICAL GROUP INC. NPI 1790911964


NPI Information

NPI: 1790911964
Provider Name: RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
4440 BROCKTON AVE
SUITE 100
RIVERSIDE, CA
ZIP 92501
Phone: (951) 781-2277
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RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. is a vascular and interventional radiology radiology in Riverside, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. NPI is 1790911964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 BROCKTON AVE
SUITE 100
RIVERSIDE, CA
ZIP 92501-068
Phone: (951) 781-2277
Fax: (951) 781-2293

The provider's authorized official is Donald R. Massee .
The authorized official title is President and has the following contact phone number (951) 781-2277.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 6/2/2009.


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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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: 11/14/2023

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