Organization
IRONSTONE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN ATAEE M.D. (C.F.O.)
(949) 355-4226
Entity
Organization
Contact information
Practice address
4121 BROCKTON AVE STE 104, RIVERSIDE, CA 92501-3442
(949) 355-4224
(951) 778-0051
Mailing address
4121 BROCKTON AVE STE 104, RIVERSIDE, CA 92501-3442
(949) 355-4224
(951) 778-0051
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A106704
CA
261QM1300X
Multi-Specialty Clinic/Center
A106704
CA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
A106704
CA
Other
Enumeration date
09/18/2007
Last updated
10/03/2011
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