| NPI | 1164538369 |
|---|---|
| Doing Business As | RIVERSIDE MEDICAL SUPPLY, CO. |
| Entity Type | Organization |
| Authorized Contact | PETER P KIM Owner 951-343-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44384) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-01-26 |