Riverside Eye, Ear, Nose, Throat Institute
Riverside Eye, Ear, Nose, Throat Institute provides Ambulatory Surgical Clinic/Center services in Riverside, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
4500 Brockton Ave L05Riverside, CA 92501-4090 Not confirmed with CMS for 13 years — call before visiting
Phone: (951) 788-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 250000356 (CA) |
|---|
Record details
| NPI number | 1811091374 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Allavie — President · (951) 686-4911 |
| NPI enumerated | September 12, 2006 |
| Last updated in NPPES | January 24, 2013 |
| Mailing address | 4500 Brockton Ave, L05, Riverside, CA 92501-4090 |
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