Healthcare Provider Details

I. General information

NPI: 1770856478
Provider Name (Legal Business Name): ASSOCIATED WOMEN'S HEALTHCARE OF THE INLAND VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2012
Last Update Date: 02/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25405 HANCOCK AVE STE 101
MURRIETA CA
92562-5978
US

IV. Provider business mailing address

25405 HANCOCK AVE STE 101
MURRIETA CA
92562-5978
US

V. Phone/Fax

Practice location:
  • Phone: 951-461-3311
  • Fax: 951-461-2833
Mailing address:
  • Phone: 951-461-3311
  • Fax: 951-461-2833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA39837
License Number StateCA

VIII. Authorized Official

Name: DR. BRIAN ANTHONY BYRNE
Title or Position: OWNER
Credential: M. D., F.A.C.O.G.
Phone: 951-461-3311