La Sierra Medical Corp in Riverside - Exclusive Provider Organization
La Sierra Medical Corp - NPI 1164527271
La Sierra Medical Corp is a Exclusive Provider Organization in Riverside, California. La Sierra Medical Corp practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for La Sierra Medical Corp is 1164527271. The last update date is 2020-08-22.
La Sierra Medical Corp's current location address is 4712b La Sierra Ave, Riverside, California. You can contact this provider via phone number 9513248100 and fax number 9513248103. The mailing address for La Sierra Medical Corp is 4712b La Sierra Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | La Sierra Medical Corp |
---|---|
Address | 4712b La Sierra Ave, Riverside, California |
Phone Number | 9513248100 |
Fax Number | 9513248103 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
---|---|
Authorized Official Name | Mbagwu Constance Chidozie |
Credentials | M.D. |
Telephone Number | 9513248100 |
NPI Number Detail
NPI Number | 1164527271 |
---|---|
Provider Enumeration Date | 2006-09-13 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4712b La Sierra Ave |
---|---|
City | Riverside |
State | California (CA) |
Post Code | 925052726 |
Phone Number | 9513248100 |
Fax Number | 9513248103 |
Provider's Primary Taxonomy Detail
Speciality | Exclusive Provider Organization |
---|---|
Taxonomy | 302F00000X |
Licence No | A513990 |
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GR0100940 | CA | -- |
Post Comment/ Review Below
What is the La Sierra Medical Corp's unique identification number?
The La Sierra Medical Corp has been assigned the NPI (National Provider Identifier) Number 1164527271 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where La Sierra Medical Corp is physically located?
The La Sierra Medical Corp is situated at the following address: 4712B La Sierra Ave, Riverside, CA 925052726.
What is the area of specialization for La Sierra Medical Corp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for La Sierra Medical Corp is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 302F00000X.
When did the La Sierra Medical Corp receive its 1164527271?
The La Sierra Medical Corp was issued its 1164527271 on 2006-09-13, which is the date when the organization was assigned this unique identifier.
When was the La Sierra Medical Corp's information last updated?
The La Sierra Medical Corp's information was last updated on 2020-08-22.