Provider Demographics
NPI:1083725261
Name:C.O.R.E.
Entity Type:Organization
Organization Name:C.O.R.E.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZECHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-782-1116
Mailing Address - Street 1:3590 CENTRAL AVE STE 210
Mailing Address - Street 2:3590 CENTRAL AVE SUITE 210
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2708
Mailing Address - Country:US
Mailing Address - Phone:951-782-2116
Mailing Address - Fax:
Practice Address - Street 1:3590 CENTRAL AVE STE 210
Practice Address - Street 2:3590 CENTRAL AVE SUITE 210
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2708
Practice Address - Country:US
Practice Address - Phone:951-782-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain