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SOUTHLAND SPINE & REHABILITATION MED CTR NPI 1902038326


NPI Information

NPI: 1902038326
Provider Name: SOUTHLAND SPINE & REHABILITATION MED CTR

Doing Business As: SOUTHLAND SPINE & REHABILITATION MED CTR

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
4354 LATHAM ST STE 100
RIVERSIDE, CA
ZIP 92501
Phone: (951) 275-5888
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SOUTHLAND SPINE & REHABILITATION MED CTR is an internal medicine in Riverside, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SOUTHLAND SPINE & REHABILITATION MED CTR NPI is 1902038326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southland Spine & Rehabilitation Med Ctr.

The provider's business location address is:

4354 LATHAM ST STE 100
RIVERSIDE, CA
ZIP 92501-777
Phone: (951) 275-5888
Fax: (951) 275-5887

The provider's authorized official is Max Matos .
The authorized official title is Medical Doctor and has the following contact phone number 95127525888.

The enumeration date for this NPI number is 8/18/2009 and was last updated on 8/18/2009.


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
1207R00000XInternal MedicineYes

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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