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Organization

INLAND EMPIRE MULTISPECIALTY GROUP PC

Active
Other names
Multispecialty Medical Group-Nephrology
Organization subpart
No

Provider details

NPI number
Authorized official
YARA VILLANUEVA (SENIOR MANAGER)
(951) 354-3221
Entity
Organization

Contact information

Practice address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 354-3221
Mailing address
495 E RINCON ST STE 208, CORONA, CA 92879-1379
(951) 523-0117

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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