Healthcare Provider Details

I. General information

NPI: 1982152104
Provider Name (Legal Business Name): U.S. HEALTHWORKS MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 09/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 CHICAGO AVE SUITE J3
RIVERSIDE CA
92507-2300
US

IV. Provider business mailing address

5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US

V. Phone/Fax

Practice location:
  • Phone: 951-781-2200
  • Fax: 951-781-2220
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN ANDERSON
Title or Position: VP
Credential:
Phone: 972-364-8000