Healthcare Provider Details

I. General information

NPI: 1124288907
Provider Name (Legal Business Name): FATEMA QUREISH ESMAIL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2008
Last Update Date: 02/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41637 MARGARITA RD STE 100
TEMECULA CA
92591-2990
US

IV. Provider business mailing address

41637 MARGARITA RD STE 100
TEMECULA CA
92591-2990
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-9300
  • Fax:
Mailing address:
  • Phone: 951-296-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA126363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: