Organization
SEQUOIA FAMILY MEDICAL GROUP, INC.
Active
Organization
SEQUOIA FAMILY MEDICAL GROUP, INC.
Active
Other names
Pacific Pain & Joint Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN STUART WILBUR M.D. (CEO/PHYSICIAN)
(951) 479-8546
Entity
Organization
Contact information
Practice address
4024 12TH ST, SUITE B, RIVERSIDE, CA 92501-3561
(951) 683-0300
(951) 683-0310
Mailing address
12672 LIMONITE AVE., SUITE 3E-235, EASTVALE, CA 92880-4208
(951) 479-8546
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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