| Rialto Medical Group | |
|
4546 El Camino Real Ste B-7 Los Altos CA 94022-1099 | |
| (650) 799-4659 | |
| Not Available |
| Full Name | Rialto Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4546 El Camino Real, Los Altos, California |
| Authorized Official Name and Position | Stepahnie A Higgins (PRESIDENT) |
| Authorized Official Contact | 6507994659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rialto Medical Group 4546 El Camino Real Ste B-7 Los Altos CA 94022-1099 Ph: (650) 799-4659 | Rialto Medical Group 4546 El Camino Real Ste B-7 Los Altos CA 94022-1099 Ph: (650) 799-4659 |
| NPI Number | 1568598282 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568598282 | NPI | - | NPPES |
| P00322599 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70849 (California) | Primary |
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