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Organization
ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.
Active
Organization
ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CHRISTINE MEISSNER (CREDENTIALING)
(951) 683-0650
Entity
Organization
Contact information
Practice address
4354 LATHAM ST STE 100, RIVERSIDE, CA 92501-1777
(951) 683-0650
(951) 774-4610
Mailing address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 683-0650
(951) 774-4610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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