Organization
COMMUNITY MEDICAL GROUP OF RIVERSIDE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SWALLEY (BUSINESS OFFICE MANAGER)
(951) 274-3446
Entity
Organization
Contact information
Practice address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 682-5661
(951) 274-3411
Mailing address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 682-5661
(951) 274-3411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
11/21/2006
Last updated
05/22/2017
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