Riverside Medical Clinic, INC
Dermatology in Riverside, CA. Organization (NPI-2).
NPI number1720183403
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1720183403
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Medical Clinic, INC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2006
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | CA | Yes |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207Y00000X | Otolaryngology | – | CA |
Other names
- Riverside Medical Clinic (Doing Business As)
Practice location
7160 Brockton Ave Fl 2Riverside, CA 92506-2620
Phone 951-683-6370
Mailing address
3660 Arlington AveRiverside, CA 92506-3987
Phone 951-683-6370 · Fax 951-248-6708
Authorized official
Anupam Gupta
Medical Director
9516836370
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