Orthopaedic Medical Group of Riverside, Inc.

NPI #1083626048 in Lake Arrowhead, California

Provider Information

NPI Number: 1083626048
Entity Type: Organization
Organization Name: Orthopaedic Medical Group of Riverside, Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 11, 2006
Last Updated: Mar 5, 2008

Practice Location

Address: 29099 HOSPITAL ROAD
Address 2: SUITE 112
City: Lake Arrowhead
State: California
ZIP Code: 92352
Phone: (909) 337-9300

Authorized Official

Name: MR. JUAN D GUAJARDO
Title: CHIEF EXCUTIVE OFFICER
Phone: (951) 774-4611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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