Organization
MENIFEE VALLEY MEDICAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT HAYNES M.D. (PRESIDENT)
(951) 301-9188
Entity
Organization
Contact information
Practice address
29798 HAUN RD STE 203, SUN CITY, CA 92586-6541
(951) 301-9188
(951) 672-6132
Mailing address
29798 HAUN RD STE 203, SUN CITY, CA 92586-6541
(951) 301-9188
(951) 672-6132
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
G61994
CA
Other
Enumeration date
10/01/2007
Last updated
02/26/2008
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