Provider First Line Business Practice Location Address:
1971 UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
FAMILY MEDICINE DEPARTMENT
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-384-6200
Provider Business Practice Location Address Fax Number:
858-634-6959
Provider Enumeration Date:
07/03/2014