RIVERSIDE EYE EAR NOSETHROAT INSTITUTE NPI 1811091374

NPI Information

  • NPI: 1811091374
  • Provider Name: RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 4500 BROCKTON AVE
    L05
    RIVERSIDE, CA
    ZIP 92501
  • Phone: (951) 788-2788

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical250000356CALIFORNIAYes

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
1ZZZ17346ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2SUR51087FMEDICAIDCALIFORNIA

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: 3/30/2025

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