Healthcare Provider Details

I. General information

NPI: 1669939468
Provider Name (Legal Business Name): MD CARE PROVIDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 SAINT JOHN PL STE A
HEMET CA
92543-4428
US

IV. Provider business mailing address

975 SAINT JOHN PL STE A
HEMET CA
92543-4428
US

V. Phone/Fax

Practice location:
  • Phone: 951-357-2264
  • Fax: 951-357-2284
Mailing address:
  • Phone: 951-357-2264
  • Fax: 951-357-2284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARVIND KISHORE MATHUR
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 909-206-8185