MORENO VALLEY COMMUNITY MEDICAL GROUP NPI 1437595873

NPI Information

NPI: 1437595873
Provider Name: MORENO VALLEY COMMUNITY MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2240625

Address:
23180 HEMLOCK AVE STE 201
MORENO VALLEY, CA
ZIP 92557
Phone: (951) 243-6460
Get Directions

MORENO VALLEY COMMUNITY MEDICAL GROUP is a multi-specialty clinic center in Moreno Valley, CA. MORENO VALLEY COMMUNITY MEDICAL GROUP NPI is 1437595873. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23180 HEMLOCK AVE STE 201
MORENO VALLEY, CA
ZIP 92557-001
Phone: (951) 243-6460
Fax: (951) 243-5871

The provider's authorized official is Joel A Pengson .
The authorized official title is Owner and has the following contact phone number (951) 243-6460.

The CLIA number assigned to this NPI record is 05D2240625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2013 and was last updated on 4/23/2022.

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	Primary
1	133V00000X	Dietitian, Registered		No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	No
3	1835P1200X	Pharmacist	Pharmacotherapy	No
4	207Q00000X	Family Medicine		No
5	207R00000X	Internal Medicine		No
6	261QM1300X	Clinic/Center	Multi-Specialty	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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »