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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

General Provider Information

NPI Number : 1245345677
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 : 1330 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-4477
Country : US
Telephone Number : 951-849-7142
Fax Number : 951-849-1762
Authorized Official
Title or Position : DIRECTOR RUHS - BEHAVIORAL HEALTH
Name : DR. MATTHEW CHANG
Credential :
Telephone Number : 951-358-4501
Provider Enumeration Date : 08/19/2006
Last Update Date : 09/09/2022

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Directions to “COUNTY OF RIVERSIDE ” Practice Location

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