Restorix Medical Group of California PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

20A7477 Issued in CA

Legal business name

RESTORIX MEDICAL GROUP OF CALIFORNIA PC

Practice address

28078 Baxter Road
Suite 410
Murrieta, CA 92563-1400

Phone

(951) 566-9800

Fax

(951) 566-9801

NPI assigned

Jan 24, 2011

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Fallou

Title

Ceo

Phone

(425) 688-3734

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1275838229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090190",
            "telephone_number": "425-688-3730",
            "fax_number": "425-453-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER ROAD",
            "address_2": "SUITE 410",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631400",
            "telephone_number": "951-566-9800",
            "fax_number": "951-566-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORIX MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "FALLOU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-688-3734"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A7477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.