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

Organization Prescribing (Medical) Psychologist · NPI 1255544557

Pituck Medical Group, Inc is a Prescribing (Medical) Psychologist in Riverside, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5858 Magnolia Ave Ste C
Riverside, CA 92506-1886
Phone: (714) 223-0396
Fax: (714) 223-0397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X

Record details

NPI number1255544557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Severson — Administrator · (714) 223-0396
NPI enumeratedMay 7, 2007
Last updated in NPPESDecember 4, 2008
Mailing address432 Somerset Dr, Placentia, CA 92870-2025

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