Healthcare Provider Details

I. General information

NPI: 1366717324
Provider Name (Legal Business Name): FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2012
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIFORNIA RD STE 237
TEMECULA CA
92591-5285
US

IV. Provider business mailing address

PO BOX 10818
SAN BERNARDINO CA
92423-0818
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-0454
  • Fax: 909-495-1302
Mailing address:
  • Phone: 909-382-0201
  • Fax: 909-495-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. IRVING M. FELDKAMP IV IV
Title or Position: OWNER
Credential: MD
Phone: 909-382-0201