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Specialty details in registry · Murrieta, CA

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At a glance

41655 Date St, Murrieta, CA 92562-7040

NPPES record updated Nov 22, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

41655 Date St Suite 100
Murrieta, CA 92562-7040

Professional details: NPI, taxonomy & registry record

NPI1730519018

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 101YA0400X
Enumeration date: Nov 22, 2013
Record updated: Nov 22, 2013

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YA0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

41655 Date St
Suite 100
Murrieta, CA 92562-7040

Phone: (626) 797-9977
Fax: (626) 844-2977

Mailing address

41655 DATE ST
SUITE 100
MURRIETA, CA 925627040

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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