PERRIS VALLEY MEDICAL GROUP INC. NPI 1083851703

NPI Information

PERRIS VALLEY MEDICAL GROUP, INC. is a family medicine in Perris, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PERRIS VALLEY MEDICAL GROUP, INC. NPI is 1083851703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

126 AVOCADO AVE
SUITE 207
PERRIS, CA
ZIP 92571-605
Phone: (951) 657-0544
Fax: (951) 657-9644

The provider's authorized official is George Villanueva .
The authorized official title is President and has the following contact phone number (951) 657-0544.

The CLIA number assigned to this NPI record is 05D0958503 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 2/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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