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Carolyn E. Wylie Center
Point of Service in Riverside, California
NPI 1972838670

Carolyn E. Wylie Center is a Point of Service based in Riverside, CA. Carolyn E. Wylie Center practices in Riverside, CA. The NPI Number for Carolyn E. Wylie Center is 1972838670 and holds a License No. 60910 (California).

The current practice location address for Carolyn E. Wylie Center is 4164 Brockton Ave, Riverside, CA and can be reached out via phone at 951-683-5193 and via fax at 951-683-6019. You can also correspond with Carolyn E. Wylie Center through the mailing address at 4164 BROCKTON AVE, RIVERSIDE, CA - 92501-3400 (mailing address contact number: 951-683-5193).

Location: 4164 Brockton Ave, Riverside, CA, 92501-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972838670
Provider Name
Carolyn E. Wylie Center
Credential
Provider Entity Type
Organization
Address
4164 Brockton Ave, Riverside, CA, 92501-3400
Phone Number
951-683-5193
Fax Number
951-683-6019
Provider Enumeration Date
10/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4164 Brockton Ave
City
Riverside
State
California
Zip
92501-3400
Phone Number
951-683-5193
Fax Number
951-683-6019
person
Provider Business Mailing Address Details
Address
4164 Brockton Ave
City
Riverside
State
California
Zip
92501-3400
Phone Number
951-683-5193
Fax Number
951-683-6019
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
60910 (California)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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