| Vitality Medical Group Pc | |
|
27699 Jefferson Ave Ste 210, Temecula, CA 92590-2696 | |
| (951) 389-0500 | |
| (951) 389-0528 |
| Full Name | Vitality Medical Group Pc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 27699 Jefferson Ave Ste 210, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487087227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael T Bell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336197425 PECOS PAC ID: 3476532003 Enrollment ID: I20040716001148 |
| Provider Name | Michael Woo-ming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558623371 PECOS PAC ID: 2062324726 Enrollment ID: I20041005000612 |
| Provider Name | Matthew U To |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023193091 PECOS PAC ID: 2567437544 Enrollment ID: I20181102000586 |
| Provider Name | Tambra Lajoy Ratledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689307779 PECOS PAC ID: 9335516657 Enrollment ID: I20221029000330 |
| Provider Name | Talia Clate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528821980 PECOS PAC ID: 4284076530 Enrollment ID: I20240531001787 |
| Provider Name | Brooke Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174331151 PECOS PAC ID: 3072035815 Enrollment ID: I20250320003081 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Medical Group Pc 27699 Jefferson Ave Ste 210, Temecula, CA 92590-2696 Ph: (951) 389-0500 | Vitality Medical Group Pc 27699 Jefferson Ave Ste 210, Temecula, CA 92590-2696 Ph: (951) 389-0500 |