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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
100033OTHERCALEGAL ENTITY

General Provider Information

NPI Number : 1679771752
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF RIVERSIDE
Provider Business Mailing Address
First Line : PO BOX 7659
Second Line :
City : RIVERSIDE
State : CA
Zip : 92513
Country : US
Telephone Number : 951-358-6900
Fax Number :
Provider Business Practice Location Address
First Line : 14320 PALM DR
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6874
Country : US
Telephone Number : 760-863-8455
Fax Number :
Authorized Official
Title or Position : DIRECTOR RUHS - BEHAVIORAL HEALTH
Name : DR. MATTHEW CHANG
Credential :
Telephone Number : 951-358-4500
Provider Enumeration Date : 07/10/2007
Last Update Date : 09/09/2022

Similar Medicare Providers

1356447965 — MR. VICTOR N RAMIREZ L.C.S.W., M.S.W.
Practice Location Address:
14320 PALM DR
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92240-6874
Practice Phone: 760-773-6767
Practice Fax: 760-773-6760
1851491559 — MR. THOMAS CHARLES LARSON M.S.
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1568581395 — MR. MICHAEL DARDEN
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14320 PALM DR
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Practice Phone: 760-773-6767
Practice Fax: 760-773-6760
1750574596 — WILLIAM WALTER HARRIS
Practice Location Address:
14320 PALM DR
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Practice Phone: 951-955-3306
Practice Fax: 760-770-2250
1386822005 — MS. PATRICIA CHAIREZ
Practice Location Address:
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1861762916 — COUNTY OF RIVERSIDE
Practice Location Address:
14320 PALM DR
DESERT HOT SPRINGS, CA
92240-6874
Practice Phone: 760-773-6767
Practice Fax:

Directions to “COUNTY OF RIVERSIDE ” Practice Location

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