Organization
RIVERSIDE RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONAL R. MASSEE MD. (PRESIDENT)
(951) 781-2270
Entity
Organization
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3400
(951) 788-3194
Mailing address
PO BOX 511412, LOS ANGELES, CA 90051-7967
(877) 411-9002
(559) 455-4016
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104280
—
CA
Enumeration date
08/02/2005
Last updated
07/21/2022
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