Healthcare Provider Details

I. General information

NPI: 1346376134
Provider Name (Legal Business Name): HEALTHPOINTE MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28991 OLD TOWN FRONT ST #104
TEMECULA CA
92590-5803
US

IV. Provider business mailing address

16702 VALLEY VIEW AVE
LA MIRADA CA
90638-5824
US

V. Phone/Fax

Practice location:
  • Phone: 951-699-5282
  • Fax: 951-527-8572
Mailing address:
  • Phone: 714-367-5391
  • Fax: 714-635-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ISMAEL SILVA JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-635-2642