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NPI Code Detail

MEDICARE: TEMECULA VALLEY EMERGENCY MEDICAL ASSOCIATES

MEDICARE: TEMECULA VALLEY EMERGENCY MEDICAL ASSOCIATES
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407845092
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMECULA VALLEY EMERGENCY MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 7725 W RENO AVE
Second Line : SUITE 150
City : OKLAHOMA CITY
State : OK
Zip : 73127-9742
Country : US
Telephone Number : 800-962-3303
Fax Number : 305-929-0765
Provider Business Practice Location Address
First Line : 28062 BAXTER RD
Second Line :
City : MURRIETA
State : CA
Zip : 92563-1401
Country : US
Telephone Number : 951-290-4108
Fax Number : 951-290-4944
Authorized Official
Title or Position : PARTNER/FINANCIAL DIRECTOR
Name : THOMAS C BAUGH
Credential : D.O.
Telephone Number : 951-696-2850
Provider Enumeration Date : 10/17/2005
Last Update Date : 04/01/2019

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Practice Location Address:
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Practice Fax:
1093798720 — DR. RICHARD R BLACK DO
Practice Location Address:
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92563-1401
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Practice Fax:
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Directions to “TEMECULA VALLEY EMERGENCY MEDICAL ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.