Innovative Extensivist Group PC
NPI #1770467888 in Temecula, California
Provider Information
- NPI Number
- 1770467888
- Entity Type
- Organization
- Organization Name
- Innovative Extensivist Group PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 1, 2025
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 44045 MARGARITA RD STE 101
- City
- Temecula
- State
- California
- ZIP Code
- 92592-2729
- Phone
- (951) 880-0701
Authorized Official
- Name
- ALMA TORRES
- Title
- CREDENTIALING MANAGER
- Phone
- (951) 800-8330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Internal Medicine |
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