| Spa M Medical Corporation | |
|
27520 Ynez Rd Suite C5 Temecula CA 92591-4650 | |
| (951) 694-4200 | |
| (951) 694-4244 |
| Full Name | Spa M Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 27520 Ynez Rd, Temecula, California |
| Authorized Official Name and Position | Dennis K Miller (CEO) |
| Authorized Official Contact | 9516944200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa M Medical Corporation 27520 Ynez Rd Suite C5 Temecula CA 92591-4650 Ph: (951) 694-4200 | Spa M Medical Corporation 27520 Ynez Rd Suite C5 Temecula CA 92591-4650 Ph: (951) 694-4200 |
| NPI Number | 1215358502 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215358502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A8981 (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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