PES-EBS.INC. NPI 1881166296

NPI Information

NPI: 1881166296
Provider Name: PES-EBS.INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2060 CHICAGO AVE STE A9
RIVERSIDE, CA
ZIP 92507
Phone: (530) 888-1010
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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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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
1	8048	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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