Organization
BALDEV S RAI MD INC
Active
Other names
PROGRESSIVE NEUROLOGY & SLEEP MEDICINE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA R DOMINGUEZ (OFFICE MANAGER)
(951) 785-7190
Entity
Organization
Contact information
Practice address
4234 RIVERWALK PKWY STE 280, RIVERSIDE, CA 92505-3370
(951) 785-7190
(951) 688-7246
Mailing address
4234 RIVERWALK PKWY STE 280, RIVERSIDE, CA 92505-3370
(951) 785-7190
(951) 688-7246
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
A41709
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
A41709
CA
Other
Enumeration date
04/26/2007
Last updated
09/09/2022
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