Organization
TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC.
Active
Other names
TOTAL CARE FAMILY MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NA'IMAH D POWELL M.D. (OWNER/OFFICER)
(951) 698-1168
Entity
Organization
Contact information
Practice address
24703 MONROE AVE, MURRIETA, CA 92562-9569
(951) 698-1168
(951) 698-0768
Mailing address
24703 MONROE AVE, MURRIETA, CA 92562-9569
(951) 698-1168
(951) 698-0768
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G729930
MEDICARE ID
CA
05
—
G729931
—
CA
Enumeration date
08/29/2008
Last updated
08/29/2008
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