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Organization
RIALTO MEDICAL GROUP
Active
Organization
RIALTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPAHNIE A HIGGINS M.D. (PRESIDENT)
(650) 799-4659
Entity
Organization
Contact information
Practice address
4546 EL CAMINO REAL, STE B-7, LOS ALTOS, CA 94022-1099
(650) 799-4659
Mailing address
4546 EL CAMINO REAL, STE B-7, LOS ALTOS, CA 94022-1099
(650) 799-4659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00322599
MEDICARE RAILROAD
CA
Enumeration date
02/26/2007
Last updated
02/28/2008
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