Provider Demographics
NPI:1043839699
Name:J M ASPREC MD
Entity Type:Organization
Organization Name:J M ASPREC MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASPREC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-461-9573
Mailing Address - Street 1:31571 CANYON ESTATES DR
Mailing Address - Street 2:STE 132
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92532-0471
Mailing Address - Country:US
Mailing Address - Phone:951-461-9573
Mailing Address - Fax:951-304-3653
Practice Address - Street 1:31571 CANYON ESTATES DR
Practice Address - Street 2:STE 132
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92532-0471
Practice Address - Country:US
Practice Address - Phone:951-674-7811
Practice Address - Fax:951-674-7812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty