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Contact Information

KEYSTONE MEDICAL GROUP
4843 ARLINGTON AVE
RIVERSIDE, CA92504-2760
 Phone: 951-682-4404
 Fax: 951-682-4406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KEYSTONE MEDICAL GROUP

NPI Number 1235365701
LBN Legal business name KEYSTONE MEDICAL GROUP
Authorized official GARY WEESSIES - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2009
Last updated 06/10/2009 - About 17 years ago
Identifiers
CA License # C41397
CA License # DC24932
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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