Organization
INLAND EMPIRE MULTISPECIALTY GROUP PC
Active
Organization
INLAND EMPIRE MULTISPECIALTY GROUP PC
Active
Other names
Riverside Multispecialty Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA ZENDEJAS (CREDENTIALING COORDINATOR)
(951) 354-3177
Entity
Organization
Contact information
Practice address
6926 BROCKTON AVE STE 4, RIVERSIDE, CA 92506-3804
(844) 400-2236
(951) 382-4111
Mailing address
495 E RINCON ST STE 208, CORONA, CA 92879-1379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
05/02/2022
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