Healthcare Provider Details

I. General information

NPI: 1457054041
Provider Name (Legal Business Name): CALIFORNIA ENDOCRINE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29995 TECHNOLOGY DR STE 305&307
MURRIETA CA
92563-2632
US

IV. Provider business mailing address

29995 TECHNOLOGY DR STE 305&307
MURRIETA CA
92563-2632
US

V. Phone/Fax

Practice location:
  • Phone: 951-574-3636
  • Fax: 800-515-1908
Mailing address:
  • Phone: 951-574-3636
  • Fax: 800-515-1908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMI ALREZK
Title or Position: OWNER
Credential: MD
Phone: 951-574-3636