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NPI Code Detail

MEDICARE: COUNTY OF RIVERSIDE

MEDICARE: COUNTY OF RIVERSIDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225103179
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF RIVERSIDE
Provider Business Mailing Address
First Line : PO BOX 7549
Second Line :
City : RIVERSIDE
State : CA
Zip : 92513-7549
Country : US
Telephone Number : 951-358-6900
Fax Number : 951-358-6905
Provider Business Practice Location Address
First Line : 3075 MYERS ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-5525
Country : US
Telephone Number : 951-413-5678
Fax Number : 951-413-5660
Authorized Official
Title or Position : DIRECTOR RUHS - BEHAVIORAL HEALTH
Name : DR. MATTHEW CHANG
Credential :
Telephone Number : 951-358-4501
Provider Enumeration Date : 11/22/2006
Last Update Date : 09/09/2022

Similar Medicare Providers

1750019493 — JOSCELINE VALDIVIA ASW
Practice Location Address:
3075 MYERS ST
RIVERSIDE, CA
92503-5525
Practice Phone: 951-358-4625
Practice Fax:
1184707127 — MS. SHERI NORINE MARQUEZ LMFT
Practice Location Address:
3075 MYERS ST
RIVERSIDE, CA
92503-5525
Practice Phone: 951-358-4625
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1720163595 — ADRIENNE ANN JORDAN MSW, LCSW
Practice Location Address:
3075 MYERS ST
RIVERSIDE, CA
92503-5525
Practice Phone: 951-358-4625
Practice Fax: 951-358-4901
1194890046 — COUNTY OF RIVERSIDE
Practice Location Address:
3075 MYERS ST
RIVERSIDE, CA
92503-5525
Practice Phone: 951-358-6895
Practice Fax: 951-358-6176
1518005081 — DR. JEANNE JACKSON RAYNES PH.D.
Practice Location Address:
3075 MYERS ST
RIVERSIDE, CA
92503-5525
Practice Phone: 951-358-6895
Practice Fax:
1013034057 — VANESSA TORRES HURTADO MSW
Practice Location Address:
3075 MYERS ST
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Practice Fax:

Directions to “COUNTY OF RIVERSIDE ” Practice Location

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