MEDICARE: J M ASPREC MD

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043839699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J M ASPREC MD

Provider Business Mailing Address
First Line	:	31571 CANYON ESTATES DR
Second Line	:	STE 132
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	951-461-9573
Fax Number	:	951-304-3653

Provider Business Practice Location Address
First Line	:	31571 CANYON ESTATES DR
Second Line	:	STE 132
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0471
Country	:	US
Telephone Number	:	951-674-7811
Fax Number	:	951-674-7812

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSEPH M ASPREC
Credential	:	M.D
Telephone Number	:	951-461-9573

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	01/06/2023

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