Healthcare Provider Details

I. General information

NPI: 1063343895
Provider Name (Legal Business Name): DR LOREN THOLCKE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40949 WINCHESTER RD
TEMECULA CA
92591-6031
US

IV. Provider business mailing address

40949 WINCHESTER RD
TEMECULA CA
92591-6031
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-6676
  • Fax: 951-296-6675
Mailing address:
  • Phone: 951-296-6676
  • Fax: 951-296-6675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOREN CHRISTOPHER THOLCKE
Title or Position: ORTHOPAEDIC SURGEON
Credential: DO
Phone: 909-556-5778