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Pituck Medical Group, Inc.
Prescribing (Medical) Psychologist in Riverside, California
NPI 1255544557

Pituck Medical Group, Inc. is a Prescribing (Medical) Psychologist based in Placentia, CA and is specialized in Prescribing (Medical). Pituck Medical Group, Inc. practices in Riverside, CA. The NPI Number for Pituck Medical Group, Inc. is 1255544557 and holds a License No. (California).

The current practice location address for Pituck Medical Group, Inc. is 5858 Magnolia Ave Ste C, Riverside, CA and can be reached out via phone at 714-223-0396 and via fax at 714-223-0397.

Location: 5858 Magnolia Ave Ste C, Riverside, CA, 92870-2025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255544557
Provider Name
Pituck Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
5858 Magnolia Ave Ste C, Riverside, CA, 92870-2025
Phone Number
714-223-0396
Fax Number
714-223-0397
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5858 Magnolia Ave Ste C
City
Riverside
State
California
Zip
92506-1886
Phone Number
714-223-0396
Fax Number
714-223-0397
person
Provider Business Mailing Address Details
Address
5858 Magnolia Ave Ste C
City
Riverside
State
California
Zip
92506-1886
Phone Number
714-223-0396
Fax Number
714-223-0397
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
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Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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