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Organization
RAINCROSS MEDICAL GROUP INC
Active
Organization
RAINCROSS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN NOVELLINO (EXECUTIVE DIRECTOR)
(951) 774-2881
Entity
Organization
Contact information
Practice address
4646 BROCKTON AVE, RIVERSIDE, CA 92506-0102
(951) 774-2881
(951) 774-2846
Mailing address
4646 BROCKTON AVE, RIVERSIDE, CA 92506-0102
(951) 774-2881
(951) 774-2846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
10/03/2005
Last updated
07/03/2013
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