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Riverside Regional Pediatric Medical Group, Inc.
Specialist in Perris, California
NPI 1902987142

Riverside Regional Pediatric Medical Group, Inc. is a Specialist based in Perris, CA. Riverside Regional Pediatric Medical Group, Inc. practices in Perris, CA. The NPI Number for Riverside Regional Pediatric Medical Group, Inc. is 1902987142 and holds a License No. (California).

The current practice location address for Riverside Regional Pediatric Medical Group, Inc. is 180 E 4Th St # C, Perris, CA and can be reached out via phone at 951-943-8899 and via fax at 951-943-4598.

Location: 180 E 4Th St # C, Perris, CA, 92570-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902987142
Provider Name
Riverside Regional Pediatric Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
180 E 4Th St # C, Perris, CA, 92570-2125
Phone Number
951-943-8899
Fax Number
951-943-4598
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0086162 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
180 E 4Th St # C
City
Perris
State
California
Zip
92570-2125
Phone Number
951-943-8899
Fax Number
951-943-4598
person
Provider Business Mailing Address Details
Address
180 E 4Th St # C
City
Perris
State
California
Zip
92570-2125
Phone Number
951-943-8899
Fax Number
951-943-4598
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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