Riverside Faculty Medical Group Inc

LBN: Riverside Faculty Medical Group Inc
Riverside Faculty Medical Group Inc is an health care organization with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Riverside Faculty Medical Group Inc can be contacted via phone (951) 486-5700, or through Kim, Daniel via phone (951) 486-5701.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 486-5700
Fax: (951) 486-5705
Website:
Map and Directions
Authorized official contact:
Name: Kim, Daniel Doctor of Medicine (MD)
Phone: (951) 486-5701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1124032461
LBN Legal business name Riverside Faculty Medical Group Inc
DBA Doing business as
Authorized official Kim, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Mar 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124032461 NPPES
California MEDICAID GR0061940

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