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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EMERALD ISLE MEDICAL GROUP INC

Active Organization

EMERALD ISLE MEDICAL GROUP INC is a Sports Medicine (IM) organization located in RIVERSIDE, California. NPI 1063601946 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · RIVERSIDE, CA

Registration Details

NPI Number
1063601946
Provider Type
Organization
NPI Issued
Oct 17, 2007 (18.852527112328 yrs)
Last Updated
Feb 7, 2020
Licenses
A46400 (CA)
A46400 (CA)
A46400 (CA)
A46400 (CA)

Practice Information

Address
4121 BROCKTON AVE STE 104
RIVERSIDE, CA, 925013442
Browse CA providers · Browse ZIP 92501
Phone
9517780032
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Critical Care Medicine
Additional Specialty
Pulmonary Disease
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Organizations in RIVERSIDE, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.