CANNAMED RELIEF; NPI #1225365778

Contact Information

CANNAMED RELIEF

21016 BOX SPRINGS RD
MORENO VALLEY, CA 92557-8711

Phone: 951-204-4016
Fax: 951-682-3969
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for CANNAMED RELIEF

NPI Number 1225365778

LBN Legal business name CANNAMED RELIEF

Authorized official GAIL RIDDICK - (VICEPRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/04/2009

Last updated 11/04/2009 - About 17 years ago

Identifiers

License #

330015118

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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