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TRI-VALLEY MEDICAL GROUP INC NPI 1609186832

NPI Profile

NPI: 1609186832

Provider Name: TRI-VALLEY MEDICAL GROUP, INC

Classification: Internal Medicine - 207RR0500X

Entity Type: Organization

Specialization: Rheumatology

Address:
39765 DATE ST
SUITE 102
MURRIETA, CA
ZIP 92563

Phone: (951) 894-5541

TRI-VALLEY MEDICAL GROUP, INC is a rheumatology internist in Murrieta, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. TRI-VALLEY MEDICAL GROUP, INC NPI is 1609186832. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

39765 DATE ST
SUITE 102
MURRIETA, CA
ZIP 92563-005
Phone: (951) 894-5541
Fax: (951) 894-4773

The provider's authorized official is Charles Payton .
The authorized official title is Vp/chief Medical Officer and has the following contact phone number (909) 335-4101.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 10/21/2010.

Map - Location of Practice

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 207RR0500X Internal Medicine Rheumatology No
2 207V00000X Obstetrics & Gynecology No
3 207R00000X Internal Medicine Yes

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: 7/13/2015