Organization
RIVERSIDE RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R MASSEE MD (PRESIDENT)
(951) 781-2270
Entity
Organization
Contact information
Practice address
4000 14TH STREET, SUITE 109, RIVERSIDE, CA 92501-4083
(951) 276-7500
(951) 276-8160
Mailing address
PO BOX 15648, SACRAMENTO, CA 95852
(951) 781-2270
(951) 781-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104280
—
CA
Enumeration date
11/06/2006
Last updated
01/18/2008
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