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Organization
WOODCREST MEDICAL CENTER, INC.
Active
Organization
WOODCREST MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CONRAD PAUL M.D (PRESIDENT)
(951) 351-7726
Entity
Organization
Contact information
Practice address
9041 MAGNOLIA AVE, SUITE 105B, RIVERSIDE, CA 92503-3900
(951) 351-7726
(951) 351-7730
Mailing address
9041 MAGNOLIA AVE, SUITE 105B, RIVERSIDE, CA 92503-3900
(951) 351-7726
(951) 351-7730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A400300
—
CA
Enumeration date
09/12/2007
Last updated
09/12/2007
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