Southern California Internal Medicine Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A61258 Issued in CA

Legal business name

SOUTHERN CALIFORNIA INTERNAL MEDICINE GROUP

Practice address

31805 Temecula Pkwy Ste 165
Temecula, CA 92592-8203

Phone

(951) 331-2200

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By 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

Osvaldo A. Lopez, M.D.

Title

Proprietor

Phone

(951) 331-2200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1417495920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31805 TEMECULA PKWY STE 165",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928203",
            "telephone_number": "951-331-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31805 TEMECULA PKWY STE 165",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925928203",
            "telephone_number": "951-331-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "951-331-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A61258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Detox
• Southern California Internal Medicine, Inc. (scim)
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Marriage and Family (Southland Mental Health Alliance)
• Southland Medical Supply
• Southwest Cardiology Medical Group, Inc.

• Medical Specialty Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.