Organization
WEST PHYSICIANS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE T HERICO NP (NURSE PRACTITIONER)
(650) 580-9827
Entity
Organization
Contact information
Practice address
5810 REDHAVEN ST, CORONA, CA 92880-3132
(650) 580-9827
Mailing address
9939 MAGNOLIA AVENUE, RIVERSIDE, CA 92503
(951) 687-8802
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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