# TEMECULA VALLEY FAMILY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TEMECULA VALLEY FAMILY MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760802805
- **Authorized official:** EARL B QUIJADA MD (OWNER)
- **Authorized official phone:** (951) 764-9673

## Contact information

- **Practice address:** 9380 7TH STREET, SUITE H, RANCHO CUCAMONGA, CA 91730
- **Practice address phone:** (909) 484-2865
- **Practice address fax:** (909) 941-6974
- **Mailing address:** 27475 YNEZ ROAD, SUITE 313, TEMECULA, CA 92591
- **Mailing address phone:** (951) 764-9673
- **Mailing address fax:** (909) 941-6974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A60997 | CA | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014