Healthcare Provider Details

I. General information

NPI: 1598866980
Provider Name (Legal Business Name): HOVE CENTER FOR FACIAL PLASTIC SURGERY, AMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41715 WINCHESTER RD SUITE 205
TEMECULA CA
92590-4808
US

IV. Provider business mailing address

41715 WINCHESTER RD SUITE 205
TEMECULA CA
92590-4808
US

V. Phone/Fax

Practice location:
  • Phone: 951-719-2950
  • Fax: 951-719-2951
Mailing address:
  • Phone: 951-719-2950
  • Fax: 951-719-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA75246
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTOPHER RANDALL HOVE
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 951-719-2950