Organization
TEMECULA VALLEY FAMILY MEDICAL GROUP
Active
Other names
TEMECULA VALLEY FAMILY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
EARL B QUIJADA MD (OWNER)
(951) 764-9673
Entity
Organization
Contact information
Practice address
9380 7TH STREET, SUITE H, RANCHO CUCAMONGA, CA 91730
(909) 484-2865
(909) 941-6974
Mailing address
27475 YNEZ ROAD, SUITE 313, TEMECULA, CA 92591
(951) 764-9673
(909) 941-6974
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A60997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A609970
—
CA
Enumeration date
04/16/2014
Last updated
04/16/2014
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