Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PARKVIEW OUTPATIENT MEDICAL GROUP, INC.
Active
Organization
PARKVIEW OUTPATIENT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER CONRAD PAUL M.D. (OWNER)
(951) 353-1021
Entity
Organization
Contact information
Practice address
9041 MAGNOLIA AVE, SUITE 107, RIVERSIDE, CA 92503-3900
(951) 353-1021
(951) 687-0692
Mailing address
9041 MAGNOLIA AVE, SUITE 107, RIVERSIDE, CA 92503-3900
(951) 687-0692
(951) 687-0692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092140
—
CA
Enumeration date
11/29/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up