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NPI 1750456760 Active Internal Medicine

Quick Facts

NPI Number

1750456760

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2006-11-22

Last Updated (NPPES)

2017-10-05

Primary Specialty / Taxonomy

Taxonomy	Internal Medicine
Taxonomy Code	`207R00000X`
License	20A6775 CA

Practice Address

41880 KALMIA ST STE 100
MURRIETA, CA 925628835

Phone: 951-461-6963

Fax: 951-461-6973

Mailing Address

41880 KALMIA ST STE 100
MURRIETA, CA 925628835

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.