# DHALLA ORTHOPEDIC CENTER INC.

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

## Provider details

- **NPI number:** 1740308683
- **Authorized official:** DR. VIR PRABHU DHALLA MD (PRESIDENT)
- **Authorized official phone:** (951) 787-4880

## Contact information

- **Practice address:** 4343 MARKET ST, RIVERSIDE, CA 92501-3517
- **Practice address phone:** (951) 787-4880
- **Practice address fax:** (951) 787-8628
- **Mailing address:** 4343 MARKET ST, RIVERSIDE, CA 92501-3517
- **Mailing address phone:** (951) 787-4880
- **Mailing address fax:** (951) 787-8628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 06/27/2008