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General NPI Number Information
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NPI Number | 1306033709
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Entity Type | Organization
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Legal Business Name | CITRUS VALLEY MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1901 TOWN AND COUNTRY DR SUITE 104
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City | NORCO
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State | CA
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Zip | 92860
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Country | US
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Telephone | 951-737-8141
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Fax | 951-738-9954
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Provider Business Mailing Address
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Address Line | 940 N HAVEN AVE STE 180-25
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City | ONTARIO
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State | CA
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Zip | 91764-4970
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Country | US
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Telephone | 951-737-8141
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROBERT GUY NELSON
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Credential | MD
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Telephone | 951-737-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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