Healthcare Provider Details

I. General information

NPI: 1831332840
Provider Name (Legal Business Name): TEMPS, THE MEDICAL PRO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32332 CAMINO CAPISTRANO STE 205
SAN JUAN CAPISTRANO CA
92675-3701
US

IV. Provider business mailing address

32332 CAMINO CAPISTRANO STE 205
SAN JUAN CAPISTRANO CA
92675-3701
US

V. Phone/Fax

Practice location:
  • Phone: 949-545-6646
  • Fax: 949-545-6866
Mailing address:
  • Phone: 949-545-6646
  • Fax: 949-545-6866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTIN A CANALES
Title or Position: CEO
Credential:
Phone: 949-545-6646