Organization
CORONA HEALTH SPECIALTY ASSOCIATES, LLC
Active
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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