Murrieta Primary Care Clinic | |
29995 Technology Dr Ste 200 Murrieta CA 92563-2633 | |
(951) 698-1118 | |
(951) 823-5763 |
Full Name | Murrieta Primary Care Clinic |
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Speciality | Family Medicine |
Location | 29995 Technology Dr Ste 200, Murrieta, California |
Authorized Official Name and Position | Joanna Ayala (MEDICAL DIRECTOR) |
Authorized Official Contact | 8183706581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Murrieta Primary Care Clinic 29995 Technology Dr Ste 200 Murrieta CA 92563-2633 Ph: (951) 698-1118 | Murrieta Primary Care Clinic 29995 Technology Dr Ste 200 Murrieta CA 92563-2633 Ph: (951) 698-1118 |
NPI Number | 1396261988 |
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Provider Enumeration Date | 08/16/2017 |
Last Update Date | 09/12/2024 |
Medicare PECOS PAC ID | 0648538736 |
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Medicare Enrollment ID | O20171219000947 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396261988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joanna Ayala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750655668 PECOS PAC ID: 2365679222 Enrollment ID: I20161101000859 |
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