Mfi Recovery Center | |
5870 Arlington Ave 103 Riverside CA 92504 | |
(951) 683-6596 | |
(951) 683-4239 |
Full Name | Mfi Recovery Center |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 5870 Arlington Ave, Riverside, California |
Authorized Official Name and Position | Steven Hobson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9516836596 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mfi Recovery Center 5870 Arlington Ave Riverside CA 92504-2037 Ph: (951) 683-6596 | Mfi Recovery Center 5870 Arlington Ave 103 Riverside CA 92504 Ph: (951) 683-6596 |
NPI Number | 1487716619 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/01/2024 |
Medicare PECOS PAC ID | 4981949351 |
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Medicare Enrollment ID | O20181213002038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487716619 | NPI | - | NPPES |
02443200 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | 330013AN (California) | Primary |
Provider Name | Violeta De Jesus |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144248410 PECOS PAC ID: 3274613120 Enrollment ID: I20080103000768 |
Provider Name | Michael Shawn Valdez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205923224 PECOS PAC ID: 0840535225 Enrollment ID: I20181213002234 |
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