Provider Demographics
NPI:1609216712
Name:TEMECULA VALLEY NEUROSURGERY INC
Entity Type:Organization
Organization Name:TEMECULA VALLEY NEUROSURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRET
Authorized Official - Middle Name:
Authorized Official - Last Name:ABSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-741-8184
Mailing Address - Street 1:25150 HANCOCK AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5989
Mailing Address - Country:US
Mailing Address - Phone:951-587-3739
Mailing Address - Fax:951-698-5213
Practice Address - Street 1:25150 HANCOCK AVE STE 210
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5989
Practice Address - Country:US
Practice Address - Phone:951-587-3739
Practice Address - Fax:951-698-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty