Organization
ADNAN MISELLATI, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADNAN MISELLATI M.D. (PRESIDENT)
(514) 912-9551
Entity
Organization
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(541) 912-9551
(909) 256-2488
Mailing address
25925 BARTON RD UNIT 1181, LOMA LINDA, CA 92354-5656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A115540
CA
Other
Enumeration date
04/12/2016
Last updated
07/15/2016
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