# INLAND EMPIRE MULTISPECIALTY GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INLAND EMPIRE MULTISPECIALTY GROUP PC
- **Other names:** Magnolia OB/GYN Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285381756
- **Legal business name:** INLAND EMPIRE MULTISPECIALTY GROUP PC
- **Authorized official:** YARA VILLANUEVA (SENIOR MANAGER / ADMINISTRATOR)
- **Authorized official phone:** (951) 354-3221

## Contact information

- **Practice address:** 6926 BROCKTON AVE STE 7, RIVERSIDE, CA 92506-3804
- **Practice address phone:** (951) 354-2229
- **Practice address fax:** (833) 630-9896
- **Mailing address:** 495 E RINCON ST STE 208, CORONA, CA 92879-1379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 10/24/2022