institution
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.

Location: 12712 Heacock St Ste 3, Moreno Valley, CA, 92553-3037
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
tick
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
State
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
State
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
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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