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Organization
TEMECULA VALLEY INTERNAL MEDICINE MEDICAL CORPORATION
Active
Organization
TEMECULA VALLEY INTERNAL MEDICINE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN LEVERSON (MD/OWNER)
(951) 699-5995
Entity
Organization
Contact information
Practice address
28991 OLD TOWN FRONT ST, STE 101, TEMECULA, CA 92590-5803
(951) 699-5995
(951) 699-0375
Mailing address
28991 OLD TOWN FRONT ST, STE 101, TEMECULA, CA 92590-5803
(951) 699-5995
(951) 699-0375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A44529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0082630
—
CA
Enumeration date
09/14/2006
Last updated
05/18/2012
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