Healthcare Provider Details

I. General information

NPI: 1689485252
Provider Name (Legal Business Name): CENTRAL ALLIANCE PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39765 DATE ST STE 102
MURRIETA CA
92563-2005
US

IV. Provider business mailing address

39765 DATE ST STE 102
MURRIETA CA
92563-2005
US

V. Phone/Fax

Practice location:
  • Phone: 951-894-4665
  • Fax:
Mailing address:
  • Phone: 951-894-4665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN DINH
Title or Position: CEO
Credential: MD
Phone: 951-200-1665