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Organization

SOUTHERN CALIFORNIA INJURY TREATMENT CENTER MGT

Active
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Organization

SOUTHERN CALIFORNIA INJURY TREATMENT CENTER MGT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDRE RIVEROY (PARTNER)
(909) 261-1263
Entity
Organization

Contact information

Practice address
15857 POMONA RINCON RD, CHINO HILLS, CA 91709-5505
(844) 787-3286
Mailing address
15857 POMONA RINCON RD, CHINO HILLS, CA 91709-5505
(844) 787-3286

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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