Provider Demographics
NPI:1588820963
Name:COUNTY OF RIVERSIDE
Entity Type:Organization
Organization Name:COUNTY OF RIVERSIDE
Other - Org Name:EXCLUSIVE CARE DISEASE MANAGEMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF MEDICAL SPECIALITY
Authorized Official - Prefix:DR
Authorized Official - First Name:ATAM
Authorized Official - Middle Name:BIR
Authorized Official - Last Name:SINGHM.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-955-5385
Mailing Address - Street 1:5256 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-4624
Mailing Address - Country:US
Mailing Address - Phone:951-955-5380
Mailing Address - Fax:
Practice Address - Street 1:5256 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-4624
Practice Address - Country:US
Practice Address - Phone:951-955-5380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management