Provider Demographics
NPI:1023003811
Name:ALL FAMILY HEALTHCARE CORP
Entity Type:Organization
Organization Name:ALL FAMILY HEALTHCARE CORP
Other - Org Name:ALL FAMILY CARE MEDICAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-615-0215
Mailing Address - Street 1:PO BOX 2373
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92079-2373
Mailing Address - Country:US
Mailing Address - Phone:951-736-4708
Mailing Address - Fax:760-736-8108
Practice Address - Street 1:41593 WINCHESTER RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4858
Practice Address - Country:US
Practice Address - Phone:951-695-8501
Practice Address - Fax:951-695-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ65703ZOtherBLUE SHIELD GROUP
CAZZZ65703ZOtherBLUE SHIELD GROUP
CAZZZ30006ZMedicare ID - Type Unspecified