Healthcare Provider Details

I. General information

NPI: 1639084049
Provider Name (Legal Business Name): ADVANCED SURGICAL PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25405 HANCOCK AVE STE 217
MURRIETA CA
92562-5978
US

IV. Provider business mailing address

31915 RANCHO CALIFORNIA RD STE 200-431
TEMECULA CA
92591-5132
US

V. Phone/Fax

Practice location:
  • Phone: 951-477-5700
  • Fax: 951-477-5699
Mailing address:
  • Phone: 951-477-5700
  • Fax: 951-477-5699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK MOORE
Title or Position: PRESIDENT
Credential: MD
Phone: 951-970-8794