Organization
DHALLA ORTHOPEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIR PRABHU DHALLA MD (PRESIDENT)
(951) 787-4880
Entity
Organization
Contact information
Practice address
4343 MARKET ST, RIVERSIDE, CA 92501
(951) 787-4880
(951) 787-8628
Mailing address
4343 MARKET ST, RIVERSIDE, CA 92501
(951) 787-4880
(951) 787-8628
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A350690
—
CA
01
—
977629
WORKERS COMP
—
Enumeration date
10/26/2006
Last updated
03/07/2023
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