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Organization

TEMECULA PSYCHIATRIC CENTER

Active
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Organization

TEMECULA PSYCHIATRIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIOT MOON M.D. (OWNER)
(951) 678-7772
Entity
Organization

Contact information

Practice address
34859 FREDRICK ST., SUITE 111, WILDOMAR, CA 92595
(951) 678-7772
(951) 678-4999
Mailing address
34859 FREDRICK ST., SUITE 111, WILDOMAR, CA 92595
(951) 678-7772
(951) 678-4999

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A6560
CA
2084P0800X
Psychiatry Physician
Primary
G79762
CA

Other

Enumeration date
03/12/2007
Last updated
08/22/2020
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