Healthcare Provider Details

I. General information

NPI: 1831034958
Provider Name (Legal Business Name): SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31515 RANCHO PUEBLO RD STE 203
TEMECULA CA
92592-4837
US

IV. Provider business mailing address

21832 CACTUS AVE
RIVERSIDE CA
92518-3010
US

V. Phone/Fax

Practice location:
  • Phone: 951-672-1866
  • Fax: 855-306-0134
Mailing address:
  • Phone: 951-924-6500
  • Fax: 855-306-0134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: AMAL MEHTA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 951-924-6500