Healthcare Provider Details

I. General information

NPI: 1033282173
Provider Name (Legal Business Name): TEMECULA VALLEY DAY SURGERY & PAIN THERAPY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25495 MEDICAL CENTER DR SUITE 101
MURRIETA CA
92562-4902
US

IV. Provider business mailing address

25470 MEDICAL CENTER DR SUITE 204
MURRIETA CA
92562-4900
US

V. Phone/Fax

Practice location:
  • Phone: 951-920-0777
  • Fax: 951-200-7789
Mailing address:
  • Phone: 951-973-7294
  • Fax: 951-973-7289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 610-768-3482