NPI | 1891364576 |
---|---|
Doing Business As | RIVERSIDE MULTISPECIALTY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DANIELA ZENDEJAS Credentialing Coordinator 951-354-3177 |
Organization Subpart ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
Additional Taxonomies | 174400000X Specialist |
207V00000X Obstetrics & Gynecology | |
Enumeration Date | 2021-06-17 |
Last Update Date | 2022-05-02 |