REMEDIAL MEDICAL GROUP NPI 1386132041

NPI Information

  • NPI: 1386132041
  • Provider Name: REMEDIAL MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 12730 HEACOCK ST STE 4A
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (951) 243-8517

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NPI Details

REMEDIAL MEDICAL GROUP is a family medicine in Moreno Valley, 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. REMEDIAL MEDICAL GROUP NPI is 1386132041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12730 HEACOCK ST STE 4A
MORENO VALLEY, CA
ZIP 92553-040
Phone: (951) 243-8517
Fax: (951) 243-8617

The provider's authorized official is Rafael Arturo Penunuri .
The authorized official title is Ceo and has the following contact phone number (951) 243-8517.

The enumeration date for this NPI number is 4/27/2018 and was last updated on 5/8/2018.

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
1207Q00000XFamily MedicineYes

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: 3/30/2025

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