Organization
RIVERSIDE HEALTHCARE SYSTEM LP
Active
Other names
The Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ARIAS (OFFICE MANAGER)
(951) 788-4318
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE, SUITE 101, RIVERSIDE, CA 92501-4090
(951) 788-4318
(951) 788-4796
Mailing address
4500 BROCKTON AVE, SUITE 101, RIVERSIDE, CA 92501-4090
(951) 788-4318
(951) 788-4796
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101970
—
CA
Enumeration date
11/28/2006
Last updated
02/12/2008
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