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General NPI Number Information
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NPI Number | 1962347096
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Entity Type | Organization
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Legal Business Name | SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 29798 HAUN RD STE 301
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City | MENIFEE
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State | CA
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Zip | 92586-6542
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Country | US
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Telephone | 951-672-1866
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Fax | 855-306-0134
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Provider Business Mailing Address
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Address Line | 21832 CACTUS AVE
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City | RIVERSIDE
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State | CA
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Zip | 92518-3010
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Country | US
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Telephone | 951-924-6500
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Fax | 855-306-0134
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Authorized Official
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Title or Position | OFF. MGR.
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Name | AMAL MEHTA
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Credential | MD
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Telephone | 951-924-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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