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Organization
JAVIER R RIOS MD, A PROFESSIONAL CORPORATION
Active
Organization
JAVIER R RIOS MD, A PROFESSIONAL CORPORATION
Active
Other names
Magnolia Clinica Medica Familiar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER R RIOS MD (OWNER / MEDICAL DIRECTOR)
(951) 354-3221
Entity
Organization
Contact information
Practice address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(855) 505-7467
(888) 975-8926
Mailing address
495 E RINCON ST STE 215, CORONA, CA 92879-1378
(951) 354-3221
(951) 394-0685
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
0A53521
CA
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
0A53521
CA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083640
—
CA
05
—
GR0083641
—
CA
Enumeration date
07/20/2005
Last updated
08/23/2024
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