Organization
RIVERSIDE ADDICTION SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY GLENDRANGE MD (PRESIDENT)
(951) 830-5874
Entity
Organization
Contact information
Practice address
4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506-0107
(951) 830-5874
(951) 686-9409
Mailing address
4605 BROCKTON AVE STE 100, RIVERSIDE, CA 92506-0107
(951) 830-5874
(951) 686-9409
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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