RIVER OF LIFE MEDICAL, LLC
NPI 1710241245
Clinic/Center - Primary Care in Dorchester, MA

Q: What is River Of Life Medical, LLC's NPI number?

The NPI number for River Of Life Medical, LLC is 1710241245. It was assigned to this organization in the NPPES registry on June 29, 2012.

Q: What is River Of Life Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 29, 2012

1370 DORCHESTER AVE STE 21, DORCHESTER, MA 02122(617) 596-1092 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About River Of Life Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER OF LIFE MEDICAL, LLC (NPI 1710241245) is a healthcare organization registered as a primary care in Dorchester, Massachusetts and active in the NPI registry since June 2012. The organization lists Daniel Sanghyun Cagua-koo, Owner, as its authorized official.

NPPES Registry Identity

NPI1710241245

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameRIVER OF LIFE MEDICAL, LLC

Location Address1370 DORCHESTER AVE STE 21Dorchester, MA 02122-2921

Mailing Address1370 Dorchester Ave Ste 21Dorchester, MA 02122-2921

Phone(617) 596-1092

Organization SubpartNo

Authorized OfficialDaniel Sanghyun Cagua-kooOwner · (617) 596-1092

Enumeration DateJune 29, 2012

✔ NPI 1710241245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in MA · 247965

1370 DORCHESTER AVE STE 21, Dorchester, MA 02122

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Of Life Medical, LLC's NPI number?

The NPI number for River Of Life Medical, LLC is 1710241245. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is River Of Life Medical, LLC located?

River Of Life Medical, LLC is located at 1370 Dorchester Ave Ste 21, Dorchester, MA 02122. The listed phone number is (617) 596-1092.

What is River Of Life Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for River Of Life Medical, LLC was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.