Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mission Grove Medical Corporation

Organization Pulmonary Disease Physician · NPI 1205224417

Mission Grove Medical Corporation is a Pulmonary Disease Physician in Riverside, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

191 E Alessandro Blvd # 9A
Riverside, CA 92508-5095
Phone: (951) 780-3300
Fax: (951) 780-3303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence A39116 (CA)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1205224417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Lacombe — Ao · (951) 780-3300
Other names Urgent Care Clinic
NPI enumeratedDecember 23, 2014
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address191 E Alessandro Blvd # 9a, Riverside, CA 92508-5095

Other providers in Riverside