Healthcare Provider Details

I. General information

NPI: 1437863297
Provider Name (Legal Business Name): OMEGATEL NURSING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28481 RANCHO CALIFORNIA RD STE 202
TEMECULA CA
92590-3619
US

IV. Provider business mailing address

126 AVOCADO AVE STE 205
PERRIS CA
92571-2605
US

V. Phone/Fax

Practice location:
  • Phone: 619-417-0676
  • Fax:
Mailing address:
  • Phone: 951-261-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALBERT TELFER
Title or Position: CEO
Credential:
Phone: 951-261-8241