# SOUTHERN CALIFORNIA INTERNAL MEDICINE GROUP

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

## Provider details

- **NPI number:** 1417495920
- **Authorized official:** OSVALDO A. LOPEZ M.D. (PROPRIETOR)
- **Authorized official phone:** (951) 331-2200

## Contact information

- **Practice address:** 31805 TEMECULA PKWY STE 165, TEMECULA, CA 92592-8203
- **Practice address phone:** (951) 331-2200
- **Mailing address:** 31805 TEMECULA PKWY STE 165, TEMECULA, CA 92592-8203
- **Mailing address phone:** (951) 331-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A61258 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 02/03/2017