The Dr. de Llanos Clinic, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A83655 Issued in CA

Legal business name

THE DR. DE LLANOS CLINIC, INC.

Practice address

32605 Highway 79 South
Suite 219
Temecula, CA 92592

Phone

(951) 506-9112

Fax

(951) 506-9113

NPI assigned

Jul 29, 2006

Last updated

Dec 10, 2007By 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. Ariel De Llanos, M.D.NPI 1922171743

Title

Ceo

Phone

(951) 506-9112

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariel De Llanos, M.D.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1922171743
  NPD (past) Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1962416214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 HIGHWAY 79 SOUTH",
            "address_2": "SUITE 219",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-506-9112",
            "fax_number": "951-506-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 HIGHWAY 79 SOUTH",
            "address_2": "SUITE 219",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-506-9112",
            "fax_number": "951-506-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DR. DE LLANOS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "DE LLANOS",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-506-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A83655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.