Healthcare Provider Details

I. General information

NPI: 1245255124
Provider Name (Legal Business Name): ARTHRITIS MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 BROCKTON AVE STE 204
RIVERSIDE CA
92506-2233
US

IV. Provider business mailing address

6180 BROCKTON AVE STE 204
RIVERSIDE CA
92506-2233
US

V. Phone/Fax

Practice location:
  • Phone: 951-781-7700
  • Fax: 951-781-0313
Mailing address:
  • Phone: 951-781-7700
  • Fax: 951-781-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. BABAK ZAMIRI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 951-781-7700