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Riverside Life Services, Inc

Organization Active NPI Community Health Clinic/Center · Riverside, CA

NPI 1114288586 · NPPES record last updated Jun 1, 2012

Key facts

NPI
1114288586
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Clinic/Center 261QC1500X
Legal business name
RIVERSIDE LIFE SERVICES, INC
Practice address
3727 McCray St
Riverside, CA 92506-2928
Phone
(951) 784-2422
Fax
(951) 276-2907
NPI assigned
Jun 1, 2012
Organization subpart
No

Authorized official

Name
Dr. Thomas Minahan, DO
Title
Medical Director
Phone
(951) 340-1002

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2028096Riverside Life Services
3727 McCray St, Riverside, CA 92506		Provider-performed microscopyAug 10, 2027

National Provider Directory

Locations

3727 McCray St
Riverside, CA 92506
Phone (951) 784-2422

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Yes

Addresses

Primary practice location

3727 McCray St
Riverside, CA 92506-2928

Mailing address

3727 McCray St
Riverside, CA 92506-2928
Phone (951) 784-2422

Other names

  • Riverside Life Services Other name

Other providers in Riverside, CA

All providers in Riverside, CA · Community Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.