Organization
WESTSIDE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASPREET K RIAR PA-C (OWNER)
(559) 659-9000
Entity
Organization
Contact information
Practice address
1107 O ST, FIREBAUGH, CA 93622-2224
(559) 659-9000
(559) 659-9017
Mailing address
1107 O ST, FIREBAUGH, CA 93622-2224
(559) 659-9000
(559) 659-9017
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53929F
—
CA
Enumeration date
01/29/2007
Last updated
01/27/2023
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