| Valley Internal Physicians | |
|
40700 California Oaks Rd Suite 207 Murrieta CA 92562-5789 | |
| (951) 677-2252 | |
| (951) 677-3838 |
| Full Name | Valley Internal Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 40700 California Oaks Rd, Murrieta, California |
| Authorized Official Name and Position | Jason A Black (PRESIDENT) |
| Authorized Official Contact | 9514914201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Internal Physicians 24680 Jefferson Ave Ste A Murrieta CA 92562-9023 Ph: (951) 677-2252 | Valley Internal Physicians 40700 California Oaks Rd Suite 207 Murrieta CA 92562-5789 Ph: (951) 677-2252 |
| NPI Number | 1902113186 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 05/31/2019 |
| Medicare PECOS PAC ID | 4880873421 |
|---|---|
| Medicare Enrollment ID | O20110127000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902113186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jason A Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073587887 PECOS PAC ID: 1951358795 Enrollment ID: I20050405000246 |
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