Healthcare Provider Details

I. General information

NPI: 1023003811
Provider Name (Legal Business Name): ALL FAMILY HEALTHCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41593 WINCHESTER RD STE 101
TEMECULA CA
92590-4858
US

IV. Provider business mailing address

PO BOX 2373
SAN MARCOS CA
92079-2373
US

V. Phone/Fax

Practice location:
  • Phone: 951-695-8501
  • Fax: 951-695-8502
Mailing address:
  • Phone: 951-736-4708
  • Fax: 760-736-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH NEVAREZ
Title or Position: PRESIDENT
Credential: MD
Phone: 909-615-0215