Healthcare Provider Details
I. General information
NPI: 1699679084
Provider Name (Legal Business Name): HH MEDICAL CA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24640 JEFFERSON AVE STE 105
MURRIETA CA
92562-9030
US
IV. Provider business mailing address
24640 JEFFERSON AVE STE 105
MURRIETA CA
92562-9030
US
V. Phone/Fax
- Phone: 951-521-1153
- Fax:
- Phone: 951-521-1153
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ELIANA
LOPEZ
Title or Position: CEO
Credential: NP
Phone: 951-521-1153