County Of Riverside

Specialty details in registry · Mecca, CA

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At a glance

91-275 Ave 66, Mecca, CA 92254

NPPES record updated Oct 12, 2022. 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

91-275 Ave 66
Mecca, CA 92254
Professional details: NPI, taxonomy & registry record
NPI1942839816
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Apr 3, 2020
Record updated
Oct 12, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

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

Practice location

91-275 Ave 66
Mecca, CA 92254
Phone
(760) 863-8455
Mailing address
4095 COUNTY CIRCLE DR

RIVERSIDE, CA 925033410
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Information may be outdated or incomplete.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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