Mountain Shadows Support Group, INC

Practice location

Address

8163 Laurel Park Cir, Riverside, CA 92509-4075

Phone

(760) 743-3714

Fax

(760) 736-4173

Mailing address

2067 W El Norte Pkwy, Escondido, CA 92026-1810

Authorised official

Name

Lupe Bryson

Title

Bussiness Office Manager

Phone

(760) 743-3714

Registered specialties

Registry record

NPI

1053436287

Entity type

Organization

NPI issued

20 Mar 2007

Record last updated

9 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.