| Vitality Medical Group Pc | |
|
27699 Jefferson Ave Ste 210 Temecula CA 92590 | |
| (951) 389-0500 | |
| (951) 389-0528 |
| Full Name | Vitality Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 27699 Jefferson Ave, Temecula, California |
| Authorized Official Name and Position | Michael Bell (PRESIDENT) |
| Authorized Official Contact | 9513890500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Medical Group Pc 27699 Jefferson Ave Ste 210 Temecula CA 92590-2696 Ph: (951) 389-0500 | Vitality Medical Group Pc 27699 Jefferson Ave Ste 210 Temecula CA 92590 Ph: (951) 389-0500 |
| NPI Number | 1306362629 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 5193956340 |
|---|---|
| Medicare Enrollment ID | O20171122002225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306362629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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