Healthcare Provider Details

I. General information

NPI: 1912395435
Provider Name (Legal Business Name): LMS PHYSICIANS CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4368 CENTRAL AVE
RIVERSIDE CA
92506-2918
US

IV. Provider business mailing address

4368 CENTRAL AVE
RIVERSIDE CA
92506-2918
US

V. Phone/Fax

Practice location:
  • Phone: 909-353-1610
  • Fax:
Mailing address:
  • Phone: 951-742-7324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WAYNE STEPHEN DYSINGER
Title or Position: CEO
Credential: M.D.
Phone: 951-742-7324