MEDICARE: FAMILY HEALTH CARE OF SOUTHERN CALIFORNIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	A41691	CA

General Provider Information

NPI Number	:	1023311651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CARE OF SOUTHERN CALIFORNIA

Provider Business Mailing Address
First Line	:	31571 CANYON ESTATES DR
Second Line	:	SUITE 225
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	951-674-7811
Fax Number	:

Provider Business Practice Location Address
First Line	:	31571 CANYON ESTATES DR
Second Line	:	SUITE 225
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	951-674-7811
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	JOSEPH M ASPREC
Credential	:	M.D.
Telephone Number	:	951-674-7811

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	12/21/2010

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Directions to “FAMILY HEALTH CARE OF SOUTHERN CALIFORNIA ” Practice Location

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