# TRIVALLEY EAR NOSE THROAT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063881605
- **Authorized official:** MS. PAMELA LEHMAN (CREDENTIALING)
- **Authorized official phone:** (951) 215-1889

## Contact information

- **Practice address:** 25150 HANCOCK AVE, STE 204, MURRIETA, CA 92562-5989
- **Practice address phone:** (951) 698-8222
- **Practice address fax:** (951) 698-7411
- **Mailing address:** 25150 HANCOCK AVE, STE 204, MURRIETA, CA 92562-5989
- **Mailing address phone:** (951) 698-8222
- **Mailing address fax:** (951) 698-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | G46300 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2015
- **Last updated:** 09/24/2015