# IRONSTONE MEDICAL CLINIC INC

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

## Provider details

- **NPI number:** 1851587448
- **Authorized official:** DR. SEAN ATAEE M.D. (C.F.O.)
- **Authorized official phone:** (949) 355-4226

## Contact information

- **Practice address:** 4121 BROCKTON AVE STE 104, RIVERSIDE, CA 92501-3442
- **Practice address phone:** (949) 355-4224
- **Practice address fax:** (951) 778-0051
- **Mailing address:** 4121 BROCKTON AVE STE 104, RIVERSIDE, CA 92501-3442
- **Mailing address phone:** (949) 355-4224
- **Mailing address fax:** (951) 778-0051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A106704 | CA | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | A106704 | CA | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | A106704 | CA | — |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 10/03/2011