Healthcare Provider Details

I. General information

NPI: 1134361264
Provider Name (Legal Business Name): U S HEALTHWORKS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25285 MADISON AVE SUITE 104
MURRIETA CA
92562-8955
US

IV. Provider business mailing address

5575 RUFFIN RD SUITE 100
SAN DIEGO CA
92123-1380
US

V. Phone/Fax

Practice location:
  • Phone: 951-600-2990
  • Fax: 858-565-6932
Mailing address:
  • Phone: 585-565-1300
  • Fax: 858-565-6932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHERI LEE ALLEY
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 858-565-1300