Provider Demographics
NPI:1689646689
Name:MINKA, GENEVIEVE M (MD)
Entity Type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:M
Last Name:MINKA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:27699 JEFFERSON AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2661
Mailing Address - Country:US
Mailing Address - Phone:951-252-8588
Mailing Address - Fax:951-252-8589
Practice Address - Street 1:27699 JEFFERSON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2661
Practice Address - Country:US
Practice Address - Phone:951-252-8588
Practice Address - Fax:951-252-8589
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2016-12-29
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Provider Licenses
StateLicense IDTaxonomies
CA877841208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA77841OtherMD LICENSE