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INLAND VALLEY RETINA MEDICAL ASSOCIATES INC NPI 1659478600


NPI Information

NPI: 1659478600
Provider Name: INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
41900 WINCHESTER RD
SUITE 201
TEMECULA, CA
ZIP 92590
Phone: (951) 679-0400
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INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC is a specialist in Temecula, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC NPI is 1659478600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41900 WINCHESTER RD
SUITE 201
TEMECULA, CA
ZIP 92590-403
Phone: (951) 679-0400
Fax: (951) 672-6667

The provider's authorized official is Paul A Blacharski .
The authorized official title is Md/owner and has the following contact phone number (951) 679-0400.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/6/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0090220MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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