Provider Demographics
NPI:1366835720
Name:DAVID CREAMER M D INC
Entity Type:Organization
Organization Name:DAVID CREAMER M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CREAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-600-1091
Mailing Address - Street 1:41670 IVY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9432
Mailing Address - Country:US
Mailing Address - Phone:951-600-1091
Mailing Address - Fax:
Practice Address - Street 1:41670 IVY ST
Practice Address - Street 2:SUITE B
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9432
Practice Address - Country:US
Practice Address - Phone:951-600-1091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93269207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty