Organization · Type 2 NPI

Mission Grove Medical Corporation

Pulmonary Disease Physician · Riverside, CA

NPI number 1205224417 Active

Practice location

191 E Alessandro Blvd # 9A
Riverside, CA 92508-5095

Fax (951) 780-3303

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician Primary 207RP1001XNone listed
Urgent Care Clinic/Center 261QU0200XA39116 (CA)
Nurse Practitioner 363L00000XNone listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

4 other providers at this address

About NPI 1205224417

Mission Grove Medical Corporation's National Provider Identifier is 1205224417, issued on Dec 23, 2014. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Riverside, CA. The record was last updated on Sep 8, 2026.