Healthcare Provider Details

I. General information

NPI: 1902697832
Provider Name (Legal Business Name): RINCON HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28780 SINGLE OAK DR STE 260
TEMECULA CA
92590-5534
US

IV. Provider business mailing address

28780 SINGLE OAK DR STE 260
TEMECULA CA
92590-5534
US

V. Phone/Fax

Practice location:
  • Phone: 951-676-4193
  • Fax:
Mailing address:
  • Phone: 951-676-4193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD ERIC MADRID
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 951-676-4193