Organization
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MASSEE M.D. (PRESIDENT)
(951) 781-2273
Entity
Organization
Contact information
Practice address
30700 E SUNSET DR S, REDLANDS, CA 92373-7448
(310) 717-0360
(770) 666-9102
Mailing address
PO BOX 511412, LOS ANGELES, CA 90051-7967
(877) 441-9002
(559) 455-4018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A112768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194979856
NPI
CA
Enumeration date
08/18/2015
Last updated
08/18/2015
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