IDYLLWILD HEALTH CENTER NPI 1407964489

NPI Information

  • NPI: 1407964489
  • Provider Name: IDYLLWILD HEALTH CENTER
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 05D0862321
  • Address: 54910 PINECREST AVE
    IDYLLWILD, CA
    ZIP 92549
  • Phone: (951) 659-4908

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NPI Details

IDYLLWILD HEALTH CENTER is an internal medicine in Idyllwild, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. IDYLLWILD HEALTH CENTER NPI is 1407964489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

54910 PINECREST AVE
IDYLLWILD, CA
ZIP 92549
Phone: (951) 659-4908
Fax: (951) 659-2984

The provider's authorized official is Kamran Qureshi .
The authorized official title is President and has the following contact phone number (951) 659-4908.

The CLIA number assigned to this NPI record is 05D0862321 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 9/11/2025.

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 MedicineNo
2207R00000XInternal 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: 11/21/2025

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