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NPI Code Detail

MEDICARE: COUNTY OF RIVERSIDE

MEDICARE: COUNTY OF RIVERSIDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2333363OTHERCACADDS

General Provider Information

NPI Number : 1316013972
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF RIVERSIDE
Provider Business Mailing Address
First Line : 3525 PRESLEY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-4453
Country : US
Telephone Number : 951-782-2400
Fax Number : 951-683-4904
Provider Business Practice Location Address
First Line : 2085 RUSTIN AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2498
Country : US
Telephone Number : 951-955-2105
Fax Number : 951-955-8060
Authorized Official
Title or Position : DIRECTOR RUHS - BEHAVIORAL HEALTH
Name : DR. MATTHEW CHANG
Credential :
Telephone Number : 951-358-4501
Provider Enumeration Date : 11/27/2006
Last Update Date : 09/09/2022

Similar Medicare Providers

1003928342 — MR. LUIS CARLOS LAMADRID B.A.,CAS. MSW
Practice Location Address:
2085 RUSTIN AVE
RIVERSIDE, CA
92507-2498
Practice Phone: 951-955-7172
Practice Fax:
1811008931 — MRS. DIANA ANITA GUTIERREZ LMFT, LPCC
Practice Location Address:
2085 RUSTIN AVE
RIVERSIDE, CA
92507-2498
Practice Phone: 951-955-7125
Practice Fax:
1760576482 — KRISTIN HERDMAN YELLAM LCSW, MSW
Practice Location Address:
2085 RUSTIN AVE
RIVERSIDE, CA
92507-2498
Practice Phone: 951-955-7320
Practice Fax:
1023104882 — MRS. KRISTIN JEAN MILLER M.S.W
Practice Location Address:
2085 RUSTIN AVE
RIVERSIDE, CA
92507-2498
Practice Phone: 951-715-5040
Practice Fax: 951-784-4976
1902971328 — COUNTY OF RIVERSIDE
Practice Location Address:
2085 RUSTIN AVE
RIVERSIDE, CA
92507-2498
Practice Phone: 951-955-8000
Practice Fax: 951-955-8010
1720148323 — COUNTY OF RIVERSIDE
Practice Location Address:
2085 RUSTIN AVE
RIVERSIDE, CA
92507-2498
Practice Phone: 951-955-8000
Practice Fax: 951-955-8010

Directions to “COUNTY OF RIVERSIDE ” Practice Location

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