Organization
NUMBER ONE CALIFORNIA HISPANO MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN H PASUHUK M.D. (MEDICAL DIRECTOR)
(951) 784-4772
Entity
Organization
Contact information
Practice address
4010 MISSION INN AVE, RIVERSIDE, CA 92501-3205
(951) 784-4772
Mailing address
4010 MISSION INN AVE, RIVERSIDE, CA 92501-3205
(951) 784-4772
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A396660
—
CA
Enumeration date
07/06/2007
Last updated
07/10/2007
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