Organization
MISSION GROVE MEDICAL CORPORATION
Active
Organization
MISSION GROVE MEDICAL CORPORATION
Active
Other names
URGENT CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LACOMBE (AO)
(951) 780-3300
Entity
Organization
Contact information
Practice address
191 E ALESSANDRO BLVD # 9A, RIVERSIDE, CA 92508-5095
(951) 780-3300
(951) 780-3303
Mailing address
191 E ALESSANDRO BLVD # 9A, RIVERSIDE, CA 92508-5095
(951) 780-3300
(951) 780-3303
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
A39116
CA
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/23/2014
Last updated
07/27/2026
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