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Kishore K Vasant Medical Group Inc.
Clinic/Center in Wildomar, California
NPI 1518993484

Kishore K Vasant Medical Group Inc. is a Clinic/Center based in Wildomar, CA. Kishore K Vasant Medical Group Inc. practices in Wildomar, CA. The NPI Number for Kishore K Vasant Medical Group Inc. is 1518993484 and holds a License No. A33638 (California).

The current practice location address for Kishore K Vasant Medical Group Inc. is 36450 Inland Valley Dr, Wildomar, CA and can be reached out via phone at 951-698-8876 and via fax at 951-698-5560.

Location: 36450 Inland Valley Dr, Wildomar, CA, 92595-9583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518993484
Provider Name
Kishore K Vasant Medical Group Inc.
Credential
Provider Entity Type
Organization
Address
36450 Inland Valley Dr, Wildomar, CA, 92595-9583
Phone Number
951-698-8876
Fax Number
951-698-5560
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A336380 05 CA
institution
Provider Business Practice Location Address Details
Address
36450 Inland Valley Dr
City
Wildomar
State
California
Zip
92595-9583
Phone Number
951-698-8876
Fax Number
951-698-5560
person
Provider Business Mailing Address Details
Address
36450 Inland Valley Dr
City
Wildomar
State
California
Zip
92595-9583
Phone Number
951-698-8876
Fax Number
951-698-5560
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A33638 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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