Justina M. Breseno, M.d., Inc. | |
6485 Day St Ste 103 Riverside CA 92507-0930 | |
(951) 653-1683 | |
Not Available |
Full Name | Justina M. Breseno, M.d., Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 6485 Day St Ste 103, Riverside, California |
Authorized Official Name and Position | Justina M. Breseno (PRESIDENT) |
Authorized Official Contact | 9516531683 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Justina M. Breseno, M.d., Inc. 6485 Day St Ste 103 Riverside CA 92507-0930 Ph: (951) 653-1683 | Justina M. Breseno, M.d., Inc. 6485 Day St Ste 103 Riverside CA 92507-0930 Ph: (951) 653-1683 |
NPI Number | 1225186505 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225186505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A50599 (California) | Primary |
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