Search › California › 106H00000X
Chad Petties
NPI 1528398971 · on the registry since 2010 · sole proprietor
Practice
- Address
- 10551 Bellegrave Ave
Mira Loma, CA 91752 - Phone
- (951) 488-2938
- Organisation at this address
- Riverside Recovery Resources
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California