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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