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Organization
ELITE MEDICAL PROVIDERS
Active
Organization
ELITE MEDICAL PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE M LOPEZ (MANAGER)
(951) 719-3111
Entity
Organization
Contact information
Practice address
28975 OLD TOWN FRONT ST STE 200, TEMECULA, CA 92590-2863
(951) 719-3111
(951) 719-3111
Mailing address
4511 ROSEMEAD BLVD STE 200, PICO RIVERA, CA 90660-2032
(951) 719-3111
(951) 719-3112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
06/20/2017
Last updated
06/16/2018
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