Organization
NEIGHBORHOOD HEALTH SYSTEMS
Active
Parent organization
MEDVANTX, INC.
Other names
Neighborhood Health Center of Riverside
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 110, RIVERSIDE, CA 92505-3081
(951) 637-9935
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A67416
CA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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