| Innovative Medical Group Temecula | |
|
44045 Margarita Rd Ste 103 Temecula CA 92592-2729 | |
| (951) 880-0701 | |
| (951) 904-3647 |
| Full Name | Innovative Medical Group Temecula |
|---|---|
| Speciality | Internal Medicine |
| Location | 44045 Margarita Rd Ste 103, Temecula, California |
| Authorized Official Name and Position | Alma Torres (DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 9518800701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Group Temecula 44045 Margarita Rd Ste 102 Temecula CA 92592-2729 Ph: (951) 517-7916 | Innovative Medical Group Temecula 44045 Margarita Rd Ste 103 Temecula CA 92592-2729 Ph: (951) 880-0701 |
| NPI Number | 1003407735 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Medicare PECOS PAC ID | 1759797251 |
|---|---|
| Medicare Enrollment ID | O20210308002622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003407735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Gilbert E Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679632244 PECOS PAC ID: 3678594835 Enrollment ID: I20051215000235 |
| Provider Name | Christine Y Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265466551 PECOS PAC ID: 7517974934 Enrollment ID: I20100504000448 |
| Provider Name | Sandra J Del Valle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003188368 PECOS PAC ID: 5597910372 Enrollment ID: I20130228000033 |
| Provider Name | Haena Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437387792 PECOS PAC ID: 0648422733 Enrollment ID: I20140203000929 |
| Provider Name | Sanjay P Muttreja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447201173 PECOS PAC ID: 3476539230 Enrollment ID: I20150203002289 |
| Provider Name | Cynthia Kabigting Recinto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750486015 PECOS PAC ID: 6800862434 Enrollment ID: I20161121000617 |
| Provider Name | Richard C Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754366 PECOS PAC ID: 4880990597 Enrollment ID: I20170208002901 |
| Provider Name | Samiollah Gholam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326457904 PECOS PAC ID: 4082971007 Enrollment ID: I20171129003702 |
| Provider Name | Ronald M Atillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346747391 PECOS PAC ID: 3971853243 Enrollment ID: I20180906003011 |
| Provider Name | Kirk Anthony Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710406848 PECOS PAC ID: 8820334824 Enrollment ID: I20190111002541 |
| Provider Name | Amelia Lynn Henninger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932634805 PECOS PAC ID: 6103246558 Enrollment ID: I20201023000932 |
| Provider Name | Anam a Goraya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174082432 PECOS PAC ID: 1557744422 Enrollment ID: I20220810003263 |
| Provider Name | Anesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558820845 PECOS PAC ID: 6305229196 Enrollment ID: I20220811000568 |
| Provider Name | Shawn Mo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679873 PECOS PAC ID: 2668856667 Enrollment ID: I20220824003366 |
| Provider Name | Rodalyn Ulep Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184163206 PECOS PAC ID: 1951761915 Enrollment ID: I20230721002673 |
| Provider Name | David Sea Jong Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740849066 PECOS PAC ID: 3375998842 Enrollment ID: I20231018003508 |
| Provider Name | Vincent Huang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437319001 PECOS PAC ID: 4789802554 Enrollment ID: I20260422001474 |
Azim U. Azhand, M.D. Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27450 Ynez Rd, Suite 108, Temecula, CA 92591 Phone: 951-695-4333 Fax: 951-695-4828 |
UC San Diego Health - Rancho Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28780 Single Oak Dr Ste 160, Temecula, CA 92590 Phone: 951-694-1753 |
Agm Medical Group, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27349 Jefferson Ave Ste 100, Temecula, CA 92590 Phone: 866-211-9447 Fax: 619-393-0840 |
Prestigious Medical Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40820 Winchester Rd Ste 2505, Temecula, CA 92591 Phone: 951-764-5962 |
All Family Care Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41593 Winchester Rd Ste 101, Temecula, CA 92590 Phone: 951-695-8501 Fax: 951-695-8502 |
Temecula Valley Family Physicians Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31720 Temecula Pkwy Ste 203, Temecula, CA 92592 Phone: 951-302-4700 Fax: 951-699-5870 |