Organization
ARYANPUR MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE JENNINGS (CREDENTIALING SPECIALIST)
(617) 454-4916
Entity
Organization
Contact information
Practice address
29645 RANCHO CALIFORNIA RD, SUITE 133, TEMECULA, CA 92591-6200
(951) 693-9800
(951) 693-9801
Mailing address
29645 RANCHO CALIFORNIA RD, SUITE 133, TEMECULA, CA 92591-6200
(951) 693-9800
(951) 693-9801
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G84327
CA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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