Organization · NPI-2

Adnan Misellati, M.D., INC

Family Medicine · Riverside, CA

NPI number1659735967
StatusActive
Last updated in NPPESJul 15, 2016

Details

NPI
1659735967
Entity type
Organization (NPI-2)
Legal business name
Adnan Misellati, M.D., INC
Organization subpart
No
Enumeration date
Apr 12, 2016
Last updated
Jul 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA115540CAYes

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Phone 541-912-9551 · Fax 909-256-2488

Mailing address

25925 Barton Rd Unit 1181
Loma Linda, CA 92354-5656

Authorized official

Adnan Misellati
President
5149129551

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