# COMMUNITY MEDICAL GROUP OF RIVERSIDE INC

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

## Provider details

- **NPI number:** 1275608937
- **Authorized official:** MR. TIMOTHY SWALLEY (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (951) 274-3446

## Contact information

- **Practice address:** 4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
- **Practice address phone:** (951) 682-5661
- **Practice address fax:** (951) 274-3411
- **Mailing address:** 4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
- **Mailing address phone:** (951) 682-5661
- **Mailing address fax:** (951) 274-3411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 05/22/2017