| Riverside Life Services | |
|
3727 Mccray St Riverside CA 92506-2928 | |
| (951) 784-2422 | |
| (951) 276-2907 |
| Full Name | Riverside Life Services |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3727 Mccray St, Riverside, California |
| Authorized Official Name and Position | Thomas Minahan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9513401002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Life Services 3727 Mccray St Riverside CA 92506-2928 Ph: (951) 784-2422 | Riverside Life Services 3727 Mccray St Riverside CA 92506-2928 Ph: (951) 784-2422 |
| NPI Number | 1114288586 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114288586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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