Provider Demographics
NPI:1952609760
Name:PHYSICIANS' HOSPITAL OF MURRIETA, LLC
Entity type:Organization
Organization Name:PHYSICIANS' HOSPITAL OF MURRIETA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:LOOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-704-1934
Mailing Address - Street 1:28062 BAXTER ROAD
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563
Mailing Address - Country:US
Mailing Address - Phone:951-290-4130
Mailing Address - Fax:951-290-4953
Practice Address - Street 1:28078 BAXTER ROAD
Practice Address - Street 2:SUITE 326
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563
Practice Address - Country:US
Practice Address - Phone:951-290-4130
Practice Address - Fax:951-290-4953
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICIANS' HOSPITAL OF MURRIETA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy