Individual
ADNAN MISELLATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3616
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A115540
CA
208M00000X
Hospitalist Physician
115540
CA
Other
Enumeration date
03/30/2009
Last updated
02/25/2020
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