Healthcare Provider Details

I. General information

NPI: 1720967920
Provider Name (Legal Business Name): HEALTHCARE MGMT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4234 RIVERWALK PKWY STE 140
RIVERSIDE CA
92505-3304
US

IV. Provider business mailing address

4234 RIVERWALK PKWY STE 140
RIVERSIDE CA
92505-3304
US

V. Phone/Fax

Practice location:
  • Phone: 951-688-8060
  • Fax:
Mailing address:
  • Phone: 951-688-8060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY NIA
Title or Position: MEMBER
Credential:
Phone: 310-927-4305