Organization
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R. MASSEE MD. (PRESIDENT)
(951) 781-2270
Entity
Organization
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
(760) 242-3306
Mailing address
PO BOX 15648, SACRAMENTO, CA 95852-0648
(951) 781-2270
(951) 781-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104280
—
CA
Enumeration date
08/09/2005
Last updated
07/21/2022
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