Provider Demographics
NPI:1508828310
Name:SIMMONS, PAMELA ALLISON (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ALLISON
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:28780 SINGLE OAK DR STE 260
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5534
Mailing Address - Country:US
Mailing Address - Phone:951-676-4193
Mailing Address - Fax:
Practice Address - Street 1:28780 SINGLE OAK DR STE 160
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5528
Practice Address - Country:US
Practice Address - Phone:951-676-4193
Practice Address - Fax:951-252-8668
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2020-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG79899207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine