Temecula Valley Internal Medicine Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A44529 Issued in CA

Legal business name

TEMECULA VALLEY INTERNAL MEDICINE MEDICAL CORPORATION

Practice address

28991 Old Town Front St
Ste 101
Temecula, CA 92590-5803

Phone

(951) 699-5995

Fax

(951) 699-0375

NPI assigned

Sep 14, 2006

Last updated

May 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

Dr. Owen Leverson

Title

MD/Owner

Phone

(951) 699-5995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1467558031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST",
            "address_2": "STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905803",
            "telephone_number": "951-699-5995",
            "fax_number": "951-699-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28991 OLD TOWN FRONT ST",
            "address_2": "STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905803",
            "telephone_number": "951-699-5995",
            "fax_number": "951-699-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY INTERNAL MEDICINE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "LEVERSON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "951-699-5995",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temecula Valley Emergency Medical Associates, Inc
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• Temecula Valley Family Physicians Inc.
• Temecula Valley Hospital Inc (Temecula Valley Hospital)
• Temecula Valley Hospitalist Medical Group, Inc.
• Temecula Valley Spine & Neurosurgery
• Temecula Valley Usd
• Temecula Wigs and More
• Temekus Hospitalist Group
• Halelujah Belachew Temesgen

• Internal Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Internal Medicine Physician in California

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