Provider Demographics
NPI:1972480176
Name:RIVERSIDE DIAGNOSTIC SERVICES INC
Entity type:Organization
Organization Name:RIVERSIDE DIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-307-4977
Mailing Address - Street 1:4730 WOODMAN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2406
Mailing Address - Country:US
Mailing Address - Phone:747-208-8988
Mailing Address - Fax:747-247-2067
Practice Address - Street 1:4730 WOODMAN AVE STE 300
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2406
Practice Address - Country:US
Practice Address - Phone:747-208-8988
Practice Address - Fax:747-247-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty