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General NPI Number Information
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NPI Number | 1841143054
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Entity Type | Organization
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Legal Business Name | MENIFEE MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 41715 WINCHESTER RD STE 107
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City | TEMECULA
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State | CA
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Zip | 92590-4853
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Country | US
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Telephone | 951-240-9105
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Fax |
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Provider Business Mailing Address
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Address Line | 43460 RIDGE PARK DR STE 150
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City | TEMECULA
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State | CA
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Zip | 92590-3755
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Country | US
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Telephone | 951-240-9105
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Fax |
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | SKYLER KING
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Credential | PA
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Telephone | 951-240-9105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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