Healthcare Provider Details

I. General information

NPI: 1497620488
Provider Name (Legal Business Name): PRO-FIT THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29377 RANCHO CALIFORNIA RD STE 200
TEMECULA CA
92591-5206
US

IV. Provider business mailing address

41345 LA SIERRA RD
TEMECULA CA
92591-1818
US

V. Phone/Fax

Practice location:
  • Phone: 961-878-5120
  • Fax:
Mailing address:
  • Phone: 951-878-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DEAN A DEXTER
Title or Position: OWNER
Credential: MANUFACTURERS CERT
Phone: 951-640-6849