Organization · Type 2 NPI

Ellen Musakwa

Clinic/Center · Riverside, CA

NPI number 1255704276 Active

Practice location

4121 Brockton Ave, 104
Riverside, CA 92501-3442

Call (951) 778-0032 Map

Mailing address

37657 Brutus Way
Beaumont, CA 92223-8056

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X95003212 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1255704276

Ellen Musakwa's National Provider Identifier is 1255704276, issued on Nov 13, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Riverside, CA. The record was last updated on Nov 13, 2015.