| Doctor Name: | BETINA GIDEON-GREER |
| NPI Number: | 1316924582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G80364 |
| Business Practice Address: | 6900 Brockton Ave Suite 100 Riverside, CA - 925063819 |
| Business Phone Number: | 9517813800 |
| Business Fax Number: | 9517811973 |
| Mailing Address: | 6900 Brockton Ave, Suite 100 RIVERSIDE |
| State: | CA |
| Postal Code: | 925063819 |
| Phone Number: | 9517813800 |
| Fax Number: | 9517811973 |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G80364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |