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29995 Technology Dr Ste 100 Murrieta CA 92563-2632 | |
(951) 412-1610 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 29995 Technology Dr Ste 100, Murrieta, California |
Authorized Official Name and Position | Leon Yan (MD/OWNER) |
Authorized Official Contact | 9514121610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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29995 Technology Dr Ste 100 Murrieta CA 92563-2632 Ph: (951) 412-1610 | 29995 Technology Dr Ste 100 Murrieta CA 92563-2632 Ph: (951) 412-1610 |
NPI Number | 1174128482 |
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Provider Enumeration Date | 12/03/2020 |
Last Update Date | 12/04/2020 |
Identifier | Type | State | Issuer |
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1174128482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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