Organization
SPA M MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS K MILLER D.O (CEO)
(951) 694-4200
Entity
Organization
Contact information
Practice address
27520 YNEZ RD, SUITE C5, TEMECULA, CA 92591-4650
(951) 694-4200
(951) 694-4244
Mailing address
27520 YNEZ RD, SUITE C5, TEMECULA, CA 92591-4650
(951) 694-4200
(951) 694-4244
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A8981
CA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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