HIZON MEDICAL CORPORATION NPI 1992120794

NPI Information

NPI: 1992120794
Provider Name: HIZON MEDICAL CORPORATION

Doing Business As: MOTION SPORTS MD

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2065009

Address:
27699 JEFFERSON AVE
SUITE 101
TEMECULA, CA
ZIP 92590
Phone: (951) 790-0107
Get Directions

HIZON MEDICAL CORPORATION is a primary care clinic center in Temecula, CA. HIZON MEDICAL CORPORATION NPI is 1992120794. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Motion Sports Md.

The provider's business location address is:

27699 JEFFERSON AVE
SUITE 101
TEMECULA, CA
ZIP 92590-661
Phone: (951) 790-0107
Fax: (951) 667-1933

The provider's authorized official is Gerardo William Hizon .
The authorized official title is President / Physician and has the following contact phone number (951) 790-0107.

The CLIA number assigned to this NPI record is 05D2065009 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2014 and was last updated on 7/4/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		G55359	CALIFORNIA	No
2	261QP2300X	Clinic/Center	Primary Care	G55359	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GI917B	MEDICARE PIN	CALIFORNIA

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: 5/5/2024

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