Organization
ARTHRITIS CENTER OF RIVERSIDE MEDICAL CORPORATION
Active
Other names
Arthritis Center of Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA HENDERSON (BILLING MANAGER)
(951) 352-1700
Entity
Organization
Contact information
Practice address
11725 SLATE AVE, SUITE 100, RIVERSIDE, CA 92505-7100
(951) 352-1700
(951) 352-9110
Mailing address
11725 SLATE AVE, SUITE 100, RIVERSIDE, CA 92505-7100
(951) 352-1700
(951) 352-9110
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A35128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0575313
CLIA # ARTHRITIS CENTER
CA
Enumeration date
12/07/2006
Last updated
10/13/2015
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