Riverside Eye, Ear, Nose,Throat Institute

LBN: Riverside Eye, Ear, Nose,Throat Institute
Riverside Eye, Ear, Nose,Throat Institute is an health care organization with primary practice located at 4500 Brockton Ave L05, Riverside CA 92501-4090. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Riverside Eye, Ear, Nose,Throat Institute can be contacted via phone (951) 788-2788, or through Allavie, John J. via phone (951) 686-4911.

Contact Information

Primary practice address
4500 Brockton Ave L05 Riverside CA 92501-4090
Phone: (951) 788-2788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allavie, John J. Doctor of Medicine (MD)
Phone: (951) 686-4911

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 250000356 California

Profile Details

NPI number 1811091374
LBN Legal business name Riverside Eye, Ear, Nose,Throat Institute
DBA Doing business as
Authorized official Allavie, John J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jan 24th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811091374 NPPES
California MEDICAID SUR51087F

Popular Providers