Organization
ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.
Active
Other names
Aim Hi Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN D. GUAJARDO (CEO)
(951) 774-4611
Entity
Organization
Contact information
Practice address
6860 BROCKTON AVE, SUITE 7, RIVERSIDE, CA 92506-3816
(951) 369-0860
(951) 774-4623
Mailing address
6850 BROCKTON AVE, SUITE 212, RIVERSIDE, CA 92506-3808
(951) 774-4611
(951) 276-3597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY11922
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT29088
CA
Other
Enumeration date
07/07/2006
Last updated
06/20/2008
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