Healthcare Provider Details

I. General information

NPI: 1952978033
Provider Name (Legal Business Name): NUFACTOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44900 WINCHESTER RD
TEMECULA CA
92590-2579
US

IV. Provider business mailing address

44900 WINCHESTER RD
TEMECULA CA
92590-2579
US

V. Phone/Fax

Practice location:
  • Phone: 800-323-6832
  • Fax:
Mailing address:
  • Phone: 800-323-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: LESLIE JEANNE VAUGHAN
Title or Position: CHIEF OPERATIONS OFFICER
Credential: R.PH
Phone: 951-375-2400