| Rialto Family Medical Group Inc. | |
|
1786 N Riverside Ave #1 Rialto CA 92376-8059 | |
| (909) 421-9576 | |
| (909) 421-0711 |
| Full Name | Rialto Family Medical Group Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1786 N Riverside Ave, Rialto, California |
| Authorized Official Name and Position | Douglas Gerald Ballaine (OWNER) |
| Authorized Official Contact | 9094219576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rialto Family Medical Group Inc. 1786 N Riverside Ave #1 Rialto CA 92376-8059 Ph: (909) 421-9576 | Rialto Family Medical Group Inc. 1786 N Riverside Ave #1 Rialto CA 92376-8059 Ph: (909) 421-9576 |
| NPI Number | 1326134586 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326134586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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