| Innovative Medical Group Temecula | |
|
44045 Margarita Rd Ste 103 Temecula CA 92592-2729 | |
| (951) 880-0701 | |
| (951) 904-3647 |
| Full Name | Innovative Medical Group Temecula |
|---|---|
| Speciality | Internal Medicine |
| Location | 44045 Margarita Rd Ste 103, Temecula, California |
| Authorized Official Name and Position | Alma Torres (DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 9518800701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Group Temecula 44045 Margarita Rd Ste 102 Temecula CA 92592-2729 Ph: (951) 517-7916 | Innovative Medical Group Temecula 44045 Margarita Rd Ste 103 Temecula CA 92592-2729 Ph: (951) 880-0701 |
| NPI Number | 1003407735 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 1759797251 |
|---|---|
| Medicare Enrollment ID | O20210308002622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003407735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sivaraman K Gounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740436237 PECOS PAC ID: 8426196825 Enrollment ID: I20110322000719 |
| Provider Name | Haena Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437387792 PECOS PAC ID: 0648422733 Enrollment ID: I20140203000929 |
| Provider Name | Richard C Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754366 PECOS PAC ID: 4880990597 Enrollment ID: I20170208002901 |
| Provider Name | Ronald M Atillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346747391 PECOS PAC ID: 3971853243 Enrollment ID: I20180906003011 |
| Provider Name | Kirk Anthony Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710406848 PECOS PAC ID: 8820334824 Enrollment ID: I20190111002541 |
| Provider Name | Anam Azhar Goraya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174082432 PECOS PAC ID: 1557744422 Enrollment ID: I20220810003263 |
| Provider Name | Anesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558820845 PECOS PAC ID: 6305229196 Enrollment ID: I20220811000568 |
| Provider Name | Qais Ayouby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154884351 PECOS PAC ID: 9931582608 Enrollment ID: I20220812000382 |
| Provider Name | Shawn Mo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679873 PECOS PAC ID: 2668856667 Enrollment ID: I20220824003366 |
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 |