MEDICARE: THOMAS T ENG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A040273
2	2084N0400X	Neurology Physician	A40273	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790858413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS T ENG MD

Provider Business Mailing Address
First Line	:	25186 HANCOCK AVE STE 110
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92562-5998
Country	:	US
Telephone Number	:	619-425-3840
Fax Number	:	619-425-3842

Provider Business Practice Location Address
First Line	:	341 MAGNOLIA AVE STE 102
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92879-3331
Country	:	US
Telephone Number	:	951-592-3662
Fax Number	:	951-521-1567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	05/27/2026

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Directions to “ THOMAS T ENG MD” Practice Location

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