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

Scintadel Liberty, Inc

Organization Internal Medicine Physician · NPI 1164122800

Scintadel Liberty, Inc is an Internal Medicine Physician in Riverside, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
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

6833 Indiana Ave Ste 208
Riverside, CA 92506-4223
Phone: (213) 422-6853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Internal Medicine Physician Taxonomy 207R00000X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1164122800
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijay Chandran — Ceo · (213) 422-6853
NPI enumeratedMarch 9, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address921 N Milliken Ave # 1176, Ontario, CA 91764-5083

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