Healthcare Provider Details

I. General information

NPI: 1538089727
Provider Name (Legal Business Name): LANI CITY MEDICAL RIVERSIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 VAN BUREN BLVD STE J1
RIVERSIDE CA
92503-5693
US

IV. Provider business mailing address

PO BOX 2456
CHINO HILLS CA
91709-0082
US

V. Phone/Fax

Practice location:
  • Phone: 909-727-3911
  • Fax: 909-727-3925
Mailing address:
  • Phone: 909-727-3911
  • Fax: 909-727-3925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUNIEL KHEMLANI
Title or Position: PRESIDENT
Credential: MD
Phone: 909-727-3911