Organization
INNOVATIVE PAIN TREATMENT SURGERY CENTER OF TEMECULA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUTUMN ELAINE VILLEGAS (PRACTICE MANAGER)
(951) 694-6367
Entity
Organization
Contact information
Practice address
27412 ENTERPRISE CIR W, SUITE 100, TEMECULA, CA 92590-4803
(951) 694-6367
(951) 694-1428
Mailing address
27412 ENTERPRISE CIR W STE 100, TEMECULA, CA 92590-4801
(951) 694-6367
(951) 694-1428
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ06845Z
PTAN
CA
Enumeration date
02/23/2007
Last updated
09/12/2025
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