# RIVERSIDE EYE, EAR, NOSE,THROAT INSTITUTE

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

## Provider details

- **NPI number:** 1811091374
- **Authorized official:** DR. JOHN J. ALLAVIE MD (PRESIDENT)
- **Authorized official phone:** (951) 686-4911

## Contact information

- **Practice address:** 4500 BROCKTON AVE, L05, RIVERSIDE, CA 92501-4090
- **Practice address phone:** (951) 788-2788
- **Mailing address:** 4500 BROCKTON AVE, L05, RIVERSIDE, CA 92501-4090
- **Mailing address phone:** (951) 788-2788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 250000356 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 01/24/2013