RIVERSIDE EYE EAR NOSETHROAT INSTITUTE NPI 1811091374

NPI Information

RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE is an ambulatory surgical clinic center in Riverside, CA. RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE NPI is 1811091374. The provider is registered as an organization entity type.

The provider's business location address is:

4500 BROCKTON AVE
L05
RIVERSIDE, CA
ZIP 92501-090
Phone: (951) 788-2788

The provider's authorized official is John J. Allavie .
The authorized official title is President and has the following contact phone number (951) 686-4911.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 1/24/2013.

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:

Other Identifiers

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

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