Organization
RIVERSIDE COUNTY RGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELIA Z REYES NP (NP)
(951) 780-6142
Entity
Organization
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4234
(951) 486-5595
Mailing address
19645 TANGELO DR, RIVERSIDE, CA 92508-6477
(951) 780-6142
(951) 780-6142
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
392583
CA
275N00000X
Medicare Defined Swing Bed Hospital Unit
392583
CA
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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