# MENIFEE VALLEY MEDICAL ASSOCIATION

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

## Provider details

- **NPI number:** 1649467093
- **Authorized official:** DR. JOHN ROBERT HAYNES M.D. (PRESIDENT)
- **Authorized official phone:** (951) 301-9188

## Contact information

- **Practice address:** 29798 HAUN RD STE 203, SUN CITY, CA 92586-6541
- **Practice address phone:** (951) 301-9188
- **Practice address fax:** (951) 672-6132
- **Mailing address:** 29798 HAUN RD STE 203, SUN CITY, CA 92586-6541
- **Mailing address phone:** (951) 301-9188
- **Mailing address fax:** (951) 672-6132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | G61994 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 02/26/2008