Healthcare Provider Details

I. General information

NPI: 1023767852
Provider Name (Legal Business Name): ALLEN RAPHAEL TSIYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31700 TEMECULA PKWY STE 2
TEMECULA CA
92592-5896
US

IV. Provider business mailing address

31700 TEMECULA PKWY STE 2
TEMECULA CA
92592-5896
US

V. Phone/Fax

Practice location:
  • Phone: 951-600-4337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA197981
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: