| Comp | |
|
4300 Central Ave Riverside CA 92506-2918 | |
| (951) 222-2206 | |
| (951) 222-2196 |
| Full Name | Comp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4300 Central Ave, Riverside, California |
| Authorized Official Name and Position | Gregory Joseph Speer (ADMINISTRATOR) |
| Authorized Official Contact | 9512222206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comp 4300 Central Ave Riverside CA 92506-2918 Ph: (951) 222-2206 | Comp 4300 Central Ave Riverside CA 92506-2918 Ph: (951) 222-2206 |
| NPI Number | 1972861797 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 05/04/2020 |
| Medicare PECOS PAC ID | 8921429358 |
|---|---|
| Medicare Enrollment ID | O20200610001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972861797 | NPI | - | NPPES |
| Provider Name | Robinson V Baron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831103878 PECOS PAC ID: 8527049709 Enrollment ID: I20040525000591 |
| Provider Name | Raafat N Mattar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083789085 PECOS PAC ID: 6709852528 Enrollment ID: I20040902001299 |
| Provider Name | Josh Lau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245638840 PECOS PAC ID: 7618360173 Enrollment ID: I20220203002600 |
| Provider Name | Christie Lau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891395695 PECOS PAC ID: 0547612772 Enrollment ID: I20240123003443 |
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