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Organization
TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization
TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE SHAEFFER (PRACTICE MANAGER)
(951) 698-4600
Entity
Organization
Contact information
Practice address
25470 MEDICAL CENTER DR STE 105, MURRIETA, CA 92562-4901
(951) 698-4600
(951) 514-2542
Mailing address
25470 MEDICAL CENTER DR STE 105, MURRIETA, CA 92562-4901
(951) 698-4600
(951) 514-2542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G80501
MEDICAL LICENSE
CA
Enumeration date
07/08/2006
Last updated
07/16/2024
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