| Mission Medical Clinic | |
|
6334 Mission Blvd Riverside CA 92509-4123 | |
| (951) 248-9113 | |
| (951) 248-9115 |
| Full Name | Mission Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 6334 Mission Blvd, Riverside, California |
| Authorized Official Name and Position | Kee I Yang (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9512489113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Medical Clinic 6334 Mission Blvd Riverside CA 92509-4123 Ph: (951) 248-9113 | Mission Medical Clinic 6334 Mission Blvd Riverside CA 92509-4123 Ph: (951) 248-9113 |
| NPI Number | 1659747954 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659747954 | NPI | - | NPPES |
| A38547 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A38547 (California) | Primary |
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