Healthcare Provider Details

I. General information

NPI: 1063899698
Provider Name (Legal Business Name): INLAND PEDIATRICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 SHERMAN DR SUITE 7
RIVERSIDE CA
92503-4001
US

IV. Provider business mailing address

3838 SHERMAN DR SUITE 7
RIVERSIDE CA
92503-4001
US

V. Phone/Fax

Practice location:
  • Phone: 951-688-0361
  • Fax: 951-688-6812
Mailing address:
  • Phone: 951-688-0361
  • Fax: 951-688-6812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA64482
License Number StateCA

VIII. Authorized Official

Name: DR. ALMA ROSA SALAZAR
Title or Position: OWNER
Credential: M.D.
Phone: 951-688-0361