Healthcare Provider Details

I. General information

NPI: 1891604229
Provider Name (Legal Business Name): UPLIFTEMEKULA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27364 JEFFERSON AVE STE A
TEMECULA CA
92590-5615
US

IV. Provider business mailing address

27364 JEFFERSON AVE STE A
TEMECULA CA
92590-5615
US

V. Phone/Fax

Practice location:
  • Phone: 951-540-8927
  • Fax:
Mailing address:
  • Phone: 951-540-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DUSHYANT VISWANATHAN
Title or Position: C E O
Credential:
Phone: 818-251-6498