Organization
ORTHOPAEDIC MEDICAL GROUP OF RIVERSIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CHRISTINE MEISSNER (CREDENTIALING)
(951) 683-0650
Entity
Organization
Contact information
Practice address
4354 LATHAM ST STE 100, RIVERSIDE, CA 92501-1777
(951) 683-0650
(951) 774-4610
Mailing address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 683-0650
(951) 774-4610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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