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Organization
COMMUNITY MEDICAL GROUP OF RIVERSIDE INC
Active
Organization
COMMUNITY MEDICAL GROUP OF RIVERSIDE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SWALLEY (BUSINESS OFFICE MANAGER)
(951) 274-3446
Entity
Organization
Contact information
Practice address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 682-5661
(951) 274-3411
Mailing address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 682-5661
(951) 274-3411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
11/21/2006
Last updated
05/22/2017
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