Organization
RIVERSIDE FAMILY PHYSICIANS
Active
Parent organization
MEDVANTX, INC.
Other names
Riverside Family Physicians - Parkview
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (SR. DIRECTOR OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
3975 JACKSON ST, 301, RIVERSIDE, CA 92503-3901
(951) 781-6335
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
A16016
CA
Other
Enumeration date
09/03/2010
Last updated
10/23/2012
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