Healthcare Provider Details

I. General information

NPI: 1346348042
Provider Name (Legal Business Name): PATRICK WILLIAM UTNEHMER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41493 MARGARITA RD # G-109
TEMECULA CA
92591-5570
US

IV. Provider business mailing address

41493 MARGARITA RD # G-109
TEMECULA CA
92591-5570
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-2211
  • Fax: 951-296-2032
Mailing address:
  • Phone: 951-296-2211
  • Fax: 951-296-2032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT8131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: