Organization
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R. MASSEE (PRESIDENT)
(951) 781-2273
Entity
Organization
Contact information
Practice address
9 TESORO, NEWPORT COAST, CA 92657-1214
(951) 781-2273
Mailing address
1660 CHICAGO AVE STE M17, RIVERSIDE, CA 92507-2033
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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