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TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC. NPI 1205084449


NPI Information

NPI: 1205084449
Provider Name: TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC.

Doing Business As: TOTAL CARE FAMILY MEDICAL

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D0574482

Address:
24703 MONROE AVE
MURRIETA, CA
ZIP 92562
Phone: (951) 698-1168
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TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC. is a multi-specialty clinic center in Murrieta, CA. TOTAL CARE FAMILY MEDICAL CENTER OF LAKE ELSINORE INC. NPI is 1205084449. The provider is registered as an organization entity type.
The provider Is Doing Business As Total Care Family Medical.

The provider's business location address is:

24703 MONROE AVE
MURRIETA, CA
ZIP 92562-569
Phone: (951) 698-1168
Fax: (951) 698-0768

The provider's authorized official is Na'imah D Powell .
The authorized official title is Owner/officer and has the following contact phone number (951) 698-1168.

The CLIA number assigned to this NPI record is 05D0574482 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/29/2008 and was last updated on 8/29/2008.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1G729931MEDICAIDCALIFORNIA
2G729930OTHERCALIFORNIAMEDICARE ID
3F24057MEDICARE UPINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.