Organization
PROVIDENCE AMBULATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAWAL BADRAN MD (PRESIDENT)
(951) 775-2407
Entity
Organization
Contact information
Practice address
3975 JACKSON ST STE 105, RIVERSIDE, CA 92503-3945
(951) 775-2407
Mailing address
3975 JACKSON ST STE 105, RIVERSIDE, CA 92503-3945
(951) 775-2407
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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