| Mfi Recovery Center | |
|
5870 Arlington Ave 103 Riverside CA 92504 | |
| (951) 683-6596 | |
| (951) 683-4239 |
| Full Name | Mfi Recovery Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 5870 Arlington Ave, Riverside, California |
| Authorized Official Name and Position | Jason Poplar (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 9516836596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mfi Recovery Center 5870 Arlington Ave Riverside CA 92504-2037 Ph: (951) 683-6596 | Mfi Recovery Center 5870 Arlington Ave 103 Riverside CA 92504 Ph: (951) 683-6596 |
| NPI Number | 1487716619 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 07/17/2023 |
| Medicare PECOS PAC ID | 4981949351 |
|---|---|
| Medicare Enrollment ID | O20181213002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487716619 | NPI | - | NPPES |
| 02443200 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 330013AN (California) | Primary |
| Provider Name | Violeta De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144248410 PECOS PAC ID: 3274613120 Enrollment ID: I20080103000768 |
| Provider Name | Michael Shawn Valdez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205923224 PECOS PAC ID: 0840535225 Enrollment ID: I20181213002234 |
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