PES-EBS.INC. NPI 1881166296

NPI Information

  • NPI: 1881166296
  • Provider Name: PES-EBS.INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 2060 CHICAGO AVE STE A9
    RIVERSIDE, CA
    ZIP 92507
  • Phone: (530) 888-1010

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NPI Details

PES-EBS.INC. is a rehabilitation and substance use disorder clinic center in Riverside, CA. PES-EBS.INC. NPI is 1881166296. The provider is registered as an organization entity type.

The provider's business location address is:

2060 CHICAGO AVE STE A9
RIVERSIDE, CA
ZIP 92507-316
Phone: (530) 888-1010

The provider's authorized official is Walter Stockman .
The authorized official title is President and has the following contact phone number (530) 888-1010.

The enumeration date for this NPI number is 12/24/2018 and was last updated on 4/3/2019.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
18048MEDICAIDCALIFORNIA

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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