Organization
LA SIERRA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIDOZIE C MBAGWU M.D., PH.D (M.D., PH.D)
(951) 324-8100
Entity
Organization
Contact information
Practice address
10600 MAGNOLIA AVE., SUITE I, RIVERSIDE, CA 92505-8889
(951) 324-8100
(951) 324-8103
Mailing address
10600 MAGNOLIA AVE, SUITE I, RIVERSIDE, CA 92505-8889
(951) 324-8100
(951) 324-8103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A51399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A513990
—
CA
05
—
GR0100940
—
CA
Enumeration date
02/08/2007
Last updated
03/31/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us