MEDICARE: SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC

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
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1467397588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	21832 CACTUS AVE
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92518-3010
Country	:	US
Telephone Number	:	951-924-6500
Fax Number	:	855-306-0134

Provider Business Practice Location Address
First Line	:	949 CALHOUN PL STE F
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92543-4403
Country	:	US
Telephone Number	:	951-256-1779
Fax Number	:	855-306-0134

Authorized Official
Title or Position	:	OFF. MGR.
Name	:	AMAL MEHTA
Credential	:	MD
Telephone Number	:	951-924-6500

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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