Organization
LA SIERRA UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUELITO M FERNANDO M.D. (MEDICAL OFFICER)
(951) 785-2200
Entity
Organization
Contact information
Practice address
4500 RIVERWALK PKWY, RIVERSIDE, CA 92505-3344
(951) 785-2200
Mailing address
4500 RIVERWALK PKWY, RIVERSIDE, CA 92505-3344
(951) 785-2200
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A22142
CA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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