Perris Valley Medical Group, Inc.

LBN: Perris Valley Medical Group, Inc.
Perris Valley Medical Group, Inc. is an health care organization with primary practice located at 126 Avocado Ave Suite 207, Perris CA 92571-2605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Perris Valley Medical Group, Inc. can be contacted via phone (951) 657-0544, or through Villanueva, George via phone (951) 657-0544.

Contact Information

Primary practice address
126 Avocado Ave Suite 207 Perris CA 92571-2605
Phone: (951) 657-0544
Fax: (951) 657-9644
Website:
Map and Directions
Authorized official contact:
Name: Villanueva, George
Phone: (951) 657-0544

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6023 California

Profile Details

NPI number 1083851703
LBN Legal business name Perris Valley Medical Group, Inc.
DBA Doing business as
Authorized official Villanueva, George
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated Feb 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083851703 NPPES
California MEDICAID E90354

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