County Of Riverisde

Specialty details in registry · Moreno Valley, CA

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At a glance

26520 Cactus Ave, Moreno Valley, CA 92555-3927

NPPES record updated Feb 13, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Professional details: NPI, taxonomy & registry record
NPI1356105902
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
333600000X
Enumeration date
Feb 13, 2024
Record updated
Feb 13, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

333600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(951) 486-4529
Fax
(951) 486-4497
Mailing address
26520 CACTUS AVE

MORENO VALLEY, CA 925553927
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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