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SEQUOIA FAMILY MEDICAL GROUP INC. NPI 1891033668


NPI Information

NPI: 1891033668
Provider Name: SEQUOIA FAMILY MEDICAL GROUP, INC.

Doing Business As: PACIFIC PAIN & JOINT CENTERS

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
4024 12TH ST
SUITE B
RIVERSIDE, CA
ZIP 92501
Phone: (951) 683-0300
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SEQUOIA FAMILY MEDICAL GROUP, INC. is a pain clinic center in Riverside, CA. SEQUOIA FAMILY MEDICAL GROUP, INC. NPI is 1891033668. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific Pain & Joint Centers.

The provider's business location address is:

4024 12TH ST
SUITE B
RIVERSIDE, CA
ZIP 92501-561
Phone: (951) 683-0300
Fax: (951) 683-0310

The provider's authorized official is Benjamin Stuart Wilbur .
The authorized official title is Ceo/physician and has the following contact phone number (951) 479-8546.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3208VP0000XPain MedicinePain MedicineNo
4225100000XPhysical TherapistNo
5225700000XMassage TherapistNo
6261QP3300XClinic/CenterPainYes

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

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