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Organization

CORONA HEALTH SPECIALTY ASSOCIATES, LLC

Active
Parent organization
CITRUS VALLEY MEDICAL ASSOCIATES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITRUS VALLEY MEDICAL ASSOCIATES, INC.
Authorized official
ROBERT G NELSON MD (PRESIDENT)
(951) 808-6240
Entity
Organization

Contact information

Practice address
2250 S MAIN ST STE 201, CORONA, CA 92882-2536
(951) 734-4880
Mailing address
1901 TOWN AND COUNTRY DR STE 104, NORCO, CA 92860-3611
(951) 808-6240
(951) 738-9954

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RG0100X
Gastroenterology Physician
207RI0011X
Interventional Cardiology Physician
2084N0400X
Neurology Physician

Other

Enumeration date
09/24/2020
Last updated
09/24/2020
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