Faheem M Jukaku MD Inc
Organization Active NPI Family Medicine Physician · Moreno Valley, CA
NPI 1306159249 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1306159249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A72490 (CA)
- Legal business name
- FAHEEM M JUKAKU MD INC
- Practice address
- 26520 Cactus Ave
Room No. B2049
Moreno Valley, CA 92555-3927 - Phone
- (951) 232-4856
- NPI assigned
- Jul 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Faheem M Jukaku, MD
- Title
- President
- Phone
- (951) 232-4856
National Provider Directory
Locations
26520 Cactus Ave
Rm No
Moreno Valley, CA 92555
Phone (951) 232-4856
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | A72490 | CA | Yes |
Addresses
Primary practice location
26520 Cactus Ave
Room No. B2049
Moreno Valley, CA 92555-3927
Mailing address
12318 Windchime PL
Apt C
Mira Loma, CA 91752-3160
Phone (951) 232-4856
Other providers in Moreno Valley, CA
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Faculty Physicians and Surgeons of Llusm
- Patrick Daniel Fairchild
- Dennis Bagawan Falcon
- Family Health Inc
- Family Service Association
- Family Service Association
All providers in Moreno Valley, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.