Rialto Family Medical Group Inc.

NPI #1326134586 in Rialto, California

Provider Information

NPI Number: 1326134586
Entity Type: Organization
Organization Name: Rialto Family Medical Group Inc.
Primary Specialty: General Practice
Enumeration Date: Oct 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1786 N RIVERSIDE AVE
Address 2: #1
City: Rialto
State: California
ZIP Code: 92376-8059
Phone: (909) 421-9576

Authorized Official

Name: DR. DOUGLAS GERALD BALLAINE, D.O.
Title: OWNER
Phone: (909) 421-9576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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