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Organization
SOUTHLAND SPINE & REHABILITATION MED CTR
Active
Organization
SOUTHLAND SPINE & REHABILITATION MED CTR
Active
Other names
Southland Spine & Rehabilitation Med Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MAX MATOS M.D. (MEDICAL DOCTOR)
95127525888
Entity
Organization
Contact information
Practice address
4354 LATHAM ST STE 100, RIVERSIDE, CA 92501-1777
(951) 275-5888
(951) 275-5887
Mailing address
4354 LATHAM ST STE 100, RIVERSIDE, CA 92501-1777
(951) 275-5888
(951) 275-5887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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