Organization · NPI-2

365 Mdcare INC

Internal Medicine · Riverside, CA

NPI number1164869780
StatusActive
Last updated in NPPESApr 30, 2020

Details

NPI
1164869780
Entity type
Organization (NPI-2)
Legal business name
365 Mdcare INC
Organization subpart
No
Enumeration date
May 23, 2013
Certification date
Apr 30, 2020
Last updated
Apr 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

9041 Magnolia Ave
Suite 302
Riverside, CA 92503-3900

Phone 951-637-9999

Mailing address

15777 S Cliff Ct
Riverside, CA 92503-5493

Phone 951-637-9999 · Fax 951-637-9988

Authorized official

Robert Nguyen
President
9516379999

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