Individual
BRIAN JEFFREY WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27699 JEFFERSON AVE, SUITE 102, TEMECULA, CA 92590-2661
(951) 587-8116
(951) 587-0466
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
(951) 252-8588
(951) 252-8589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A762420
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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