| Motion Sports Md | |
|
27699 Jefferson Ave Suite 101 Temecula CA 92590-2661 | |
| (951) 790-0107 | |
| (951) 667-1933 |
| Full Name | Motion Sports Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 27699 Jefferson Ave, Temecula, California |
| Authorized Official Name and Position | Gerardo William Hizon (PRESIDENT / PHYSICIAN) |
| Authorized Official Contact | 9517900107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Motion Sports Md 25495 Medical Center Dr Suite 305 Murrieta CA 92562-4902 Ph: (951) 790-0107 | Motion Sports Md 27699 Jefferson Ave Suite 101 Temecula CA 92590-2661 Ph: (951) 790-0107 |
| NPI Number | 1992120794 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 07/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992120794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G55359 (California) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | G55359 (California) | Primary |
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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 | |
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