Healthcare Provider Details

I. General information

NPI: 1295692069
Provider Name (Legal Business Name): UNITED PRIMARY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31493 RANCHO PUEBLO RD STE 206
TEMECULA CA
92592-4833
US

IV. Provider business mailing address

28078 BAXTER RD STE 530
MURRIETA CA
92563-1405
US

V. Phone/Fax

Practice location:
  • Phone: 951-303-6158
  • Fax: 951-698-0272
Mailing address:
  • Phone: 951-290-5472
  • Fax: 951-698-0272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN HONG
Title or Position: OWNER
Credential: MD
Phone: 951-290-5472