Riverside Eye Specialists Medical Group Inc.
LBN: Riverside Eye Specialists Medical Group Inc.
Riverside Eye Specialists Medical Group Inc. is an health care organization with primary practice located at 4605 Brockton Ave Suite 100, Riverside CA 92506-0106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Riverside Eye Specialists Medical Group Inc. can be contacted via phone (951) 686-4911, or through Glendrange, Ray Rogers via phone (951) 686-4911.
Contact Information
Primary practice address
4605 Brockton Ave Suite 100
Riverside CA 92506-0106
Phone: (951) 686-4911
Fax: (951) 686-9409
Website:
Authorized official contact:
Name: Glendrange, Ray Rogers Doctor of Medicine (MD)
Phone: (951) 686-4911
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1508828963 |
|---|---|
| LBN Legal business name | Riverside Eye Specialists Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Glendrange, Ray Rogers Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508828963 | NPPES |
| California | Other | CD8734 | PALMETTO, GBA |
| California | MEDICAID | GR0079980 | PALMETTO, GBA |
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