Provider Demographics
NPI:1821637984
Name:OBLS & PHYSICIAN SERVICES INC
Entity Type:Organization
Organization Name:OBLS & PHYSICIAN SERVICES INC
Other - Org Name:RIVERSIDE OUTPATIENT SURGICAL INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REEKESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-965-2953
Mailing Address - Street 1:4500 BROCKTON AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-4006
Mailing Address - Country:US
Mailing Address - Phone:951-784-4088
Mailing Address - Fax:951-754-4089
Practice Address - Street 1:4500 BROCKTON AVE STE 105
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4006
Practice Address - Country:US
Practice Address - Phone:951-784-4088
Practice Address - Fax:951-754-4089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OBLS & PHYSICIAN SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-06
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Multi-Specialty