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Organization
UNIVERSITY OF CALIFORNIA, HEALTH RIVERSIDE
Active
Organization
UNIVERSITY OF CALIFORNIA, HEALTH RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASTASSIA VALENZUELA (QUALITY OUTCOMES MANAGER)
(760) 808-0664
Entity
Organization
Contact information
Practice address
79430 HIGHWAY 111 STE 102, LA QUINTA, CA 92253-4549
(844) 827-8000
Mailing address
14350 MERIDIAN PKWY, RIVERSIDE, CA 92518-3035
(760) 561-7336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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