Healthcare Provider Details

I. General information

NPI: 1265748339
Provider Name (Legal Business Name): RICHARD E UHLER DO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27720 JEFFERSON AVE 100 B
TEMECULA CA
92590-2610
US

IV. Provider business mailing address

27720 JEFFERSON AVE 100 B
TEMECULA CA
92590-2610
US

V. Phone/Fax

Practice location:
  • Phone: 951-693-9678
  • Fax: 951-693-9526
Mailing address:
  • Phone: 951-693-9678
  • Fax: 951-693-9526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number20A6752
License Number StateCA

VIII. Authorized Official

Name: DR. RICHARD E UHLER
Title or Position: DOCTOR
Credential: DO
Phone: 951-693-9678