Unknown Individual – General Practice Physician, NPI 1154315646
General Practice Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
27455 TIERRA ALTA WAY STE A
TEMECULA, CA 925903498
Phone: (951) 699-5282
Fax: (951) 694-8652
Type: Location
16702, Valley View Avenue, La Mirada, Los Angeles County, California, 90638, United States
LA MIRADA, CA 906385824
Phone: (714) 367-5360
Fax: (714) 635-5428
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92590)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| P O D I A T R Y | CA | |
| - | CA | |
| - | CA |
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