Champion Medical Group, A Medical Corporation

NPI 1144525775 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1144525775
Enumeration Date 01/12/2011
Last Updated 03/31/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name HERBERT HERBERT
Position MEDICAL DIRECTOR
Phone (951) 286-6036
Fax
Practice Location
3211 VAN BUREN BLVD STE B
RIVERSIDE CA, 92503-5640, US
Phone (951) 286-6036
Fax
Business Location
2980 N BEVERLY GLEN CIR
STE 301
LOS ANGELES CA, 90077-1726, US
Phone (310) 474-9809
Fax
Toxanomy
Taxonomy Code 332900000X
License State
License Number
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According to our database, Champion Medical Group, A Medical Corporation NPI is 1144525775, taxonomy code is 332900000X Champion Medical Group, A Medical Corporation physically located at 3211 Van Buren Blvd Ste B, Riverside CA, 92503-5640. NPI Number 1033115704 has the healthcare provider type.

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1144525775 NPI number is provided on an as is basis without warranty of any kind. 1144525775 is maintained by the National Plan & Provider Enumeration System. The contents of Champion Medical Group, A Medical Corporation are for informational purposes only.