Organization
TEMECULA VALLEY SPINE & NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD TAMBUNAN (MANAGER)
(951) 973-7294
Entity
Organization
Contact information
Practice address
27720 JEFFERSON AVE, SUITE 100B, TEMECULA, CA 92590-2610
(951) 587-3739
(951) 693-9731
Mailing address
25470 MEDICAL CENTER DR, SUITE 204, MURRIETA, CA 92562-4900
(951) 973-7294
(951) 973-7289
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A71689
CA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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