| Temecula Psychiatric Center | |
|
34859 Fredrick St. Suite 111 Wildomar CA 92595 | |
| (951) 678-7772 | |
| (951) 678-4999 |
| Full Name | Temecula Psychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 34859 Fredrick St., Wildomar, California |
| Authorized Official Name and Position | Eliot Moon (OWNER) |
| Authorized Official Contact | 9516787772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temecula Psychiatric Center 34859 Fredrick St. Suite 111 Wildomar CA 92595 Ph: (951) 678-7772 | Temecula Psychiatric Center 34859 Fredrick St. Suite 111 Wildomar CA 92595 Ph: (951) 678-7772 |
| NPI Number | 1538291968 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538291968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G79762 (California) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A6560 (California) | Secondary |
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