NPI | 1316080880 |
---|---|
Doing Business As | RIVERSIDE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | ANUPAM GUPTA Medical Director 951-683-6370 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine |
Enumeration Date | 2007-02-15 |
Last Update Date | 2025-06-27 |