Temecula Valley Family Medical Group

LBN: Temecula Valley Family Medical Group
Temecula Valley Family Medical Group is an health care organization with primary practice located at 9380 7Th Street Suite H, Rancho Cucamonga CA 91730. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Temecula Valley Family Medical Group can be contacted via phone (909) 484-2865, or through Quijada, Earl B via phone (951) 764-9673.

Contact Information

Primary practice address
9380 7Th Street Suite H Rancho Cucamonga CA 91730
Fax: (909) 941-6974
Website:
Authorized official contact:
Name: Quijada, Earl B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A60997 California

Profile Details

NPI number 1760802805
LBN Legal business name Temecula Valley Family Medical Group
DBA Doing business as Temecula Valley Family Medical Group
Authorized official Quijada, Earl B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2014
Last updated Apr 16th, 2014 - about 11 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 1760802805 NPPES
California MEDICAID 00A609970

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