Healthcare Provider Details

I. General information

NPI: 1932022738
Provider Name (Legal Business Name): I-CARE MEDICAL PROFESSIONAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31720 TEMECULA PKWY STE 100
TEMECULA CA
92592-5895
US

IV. Provider business mailing address

41923 2ND ST STE 204
TEMECULA CA
92590-2833
US

V. Phone/Fax

Practice location:
  • Phone: 951-878-9820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: EMILI STEELE
Title or Position: MANAGER
Credential:
Phone: 760-622-6698