| Woodcrest Medical Center, Inc. | |
|
9041 Magnolia Ave Suite 105b Riverside CA 92503-3900 | |
| (951) 351-7726 | |
| (951) 351-7730 |
| Full Name | Woodcrest Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9041 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Peter Conrad Paul (PRESIDENT) |
| Authorized Official Contact | 9513517726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodcrest Medical Center, Inc. 9041 Magnolia Ave Suite 105b Riverside CA 92503-3900 Ph: (951) 351-7726 | Woodcrest Medical Center, Inc. 9041 Magnolia Ave Suite 105b Riverside CA 92503-3900 Ph: (951) 351-7726 |
| NPI Number | 1215122213 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215122213 | NPI | - | NPPES |
| 00A400300 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A40030 (California) | Primary |
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