# KEYSTONE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235365701
- **Authorized official:** DR. GARY JORDAN WEESSIES D.C. (PARTNER)
- **Authorized official phone:** (951) 682-4404

## Contact information

- **Practice address:** 4843 ARLINGTON AVE, RIVERSIDE, CA 92504-2760
- **Practice address phone:** (951) 682-4404
- **Practice address fax:** (951) 682-4406
- **Mailing address:** 4843 ARLINGTON AVE, RIVERSIDE, CA 92504-2760
- **Mailing address phone:** (951) 682-4404
- **Mailing address fax:** (951) 682-4406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC24932 | CA | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | C41397 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 06/10/2009