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Riverside Regional Pediatric Medical Group, Inc.
Specialist in Moreno Valley, California
NPI 1437230687

Riverside Regional Pediatric Medical Group, Inc. is a Specialist based in Moreno Valley, CA. Riverside Regional Pediatric Medical Group, Inc. practices in Moreno Valley, CA. The NPI Number for Riverside Regional Pediatric Medical Group, Inc. is 1437230687 and holds a License No. (California).

The current practice location address for Riverside Regional Pediatric Medical Group, Inc. is 12712 Heacock St Ste 3, Moreno Valley, CA and can be reached out via phone at 951-601-6802 and via fax at 951-601-9302. You can also correspond with Riverside Regional Pediatric Medical Group, Inc. through the mailing address at 12712 HEACOCK ST STE 3, MORENO VALLEY, CA - 92553-3037 (mailing address contact number: 951-601-6802).

Location: 12712 Heacock St Ste 3, Moreno Valley, CA, 92553-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437230687
Provider Name
Riverside Regional Pediatric Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
12712 Heacock St Ste 3, Moreno Valley, CA, 92553-3037
Phone Number
951-601-6802
Fax Number
951-601-9302
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0086161 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
12712 Heacock St Ste 3
City
Moreno Valley
State
California
Zip
92553-3037
Phone Number
951-601-6802
Fax Number
951-601-9302
person
Provider Business Mailing Address Details
Address
12712 Heacock St Ste 3
City
Moreno Valley
State
California
Zip
92553-3037
Phone Number
951-601-6802
Fax Number
951-601-9302
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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