Organization
RISE MSO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADEN YOUNG (CHIEF FINANCIAL OFFICER)
(562) 308-8269
Entity
Organization
Contact information
Practice address
18510 MOCKINGBIRD CANYON RD, RIVERSIDE, CA 92504-9691
(562) 308-8269
Mailing address
5170 VIA PRIMARIA, YORBA LINDA, CA 92886-4586
(562) 308-8269
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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