| Stanford Psychiatry Medical Group | |
|
41715 Winchester Rd Suite 104 Temecula CA 92590-4808 | |
| (805) 952-3517 | |
| Not Available |
| Full Name | Stanford Psychiatry Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 41715 Winchester Rd, Temecula, California |
| Authorized Official Name and Position | Aliuddin Khaja (OWNER) |
| Authorized Official Contact | 8059523517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Psychiatry Medical Group 854 Magnolia Ave Ste 201 Corona CA 92879-3109 Ph: (951) 356-5414 | Stanford Psychiatry Medical Group 41715 Winchester Rd Suite 104 Temecula CA 92590-4808 Ph: (805) 952-3517 |
| NPI Number | 1093267171 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093267171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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