OrganizationActive
Riverside Addiction Specialists, Inc.
NPI 1356059877 · Addiction Medicine (Preventive Medicine) Physician · Riverside, CA
Provider details
- NPI number
- 1356059877
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ray Glendrange, President(951) 830-5874
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4605 Brockton Ave Ste 100
Riverside, CA 92506-0107
Phone: (951) 830-5874
Fax: (951) 686-9409
Approximate (ZIP-level) locationGet directions
Mailing address
4605 Brockton Ave Ste 100
Riverside, CA 92506-0107
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.