| A Living Chance Clinical Trials, Inc | |
|
41593 Winchester Rd Temecula CA 92590-4860 | |
| (919) 308-1562 | |
| Not Available |
| Full Name | A Living Chance Clinical Trials, Inc |
|---|---|
| Speciality | General Practice |
| Location | 41593 Winchester Rd, Temecula, California |
| Authorized Official Name and Position | Woody H Jackson (OWNER) |
| Authorized Official Contact | 9193081562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Living Chance Clinical Trials, Inc Po Box 775 Murrieta CA 92564-0775 Ph: (919) 308-1562 | A Living Chance Clinical Trials, Inc 41593 Winchester Rd Temecula CA 92590-4860 Ph: (919) 308-1562 |
| NPI Number | 1134699333 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 0648510636 |
|---|---|
| Medicare Enrollment ID | O20190329001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134699333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Woody Herman Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073587598 PECOS PAC ID: 8729077516 Enrollment ID: I20150206000935 |
Azim U. Azhand, M.d. Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27450 Ynez Rd, Suite 108, Temecula, CA 92591 Phone: 951-695-4333 Fax: 951-695-4828 | |
Uc San Diego Health - Rancho Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28780 Single Oak Dr Ste 160, Temecula, CA 92590 Phone: 951-694-1753 | |
All Family Care Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41593 Winchester Rd Ste 101, Temecula, CA 92590 Phone: 951-695-8501 Fax: 951-695-8502 | |
Temecula Valley Family Physicians Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31720 Temecula Pkwy Ste 203, Temecula, CA 92592 Phone: 951-302-4700 Fax: 951-699-5870 | |
Inpatient Physicians Network,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41593 Winchester Rd Ste 101, Temecula, CA 92590 Phone: 951-719-1111 | |
Temecula Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27555 Ynez Rd Ste 102, Temecula, CA 92591 Phone: 951-302-2526 Fax: 833-937-2808 | |
Ageless Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29645 Rancho California Rd Ste 117, Temecula, CA 92591 Phone: 901-757-3643 |