DR LILY PHILLIPS MD MEDICAL GROUP (NPI# 1083996516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083996516 |
Entity Type | Organization |
Organization Name | DR LILY PHILLIPS MD MEDICAL GROUP |
Other Organization Name | MURRIETA FAMILY CARE |
Practice Address |
24910 Las Brisas Rd Suite 106 Murrieta CA 92562-4010 |
Practice Telephone | 9516677780 |
Practice Fax Number | 8886042214 |
Mailing Telephone | 9516677780 |
Mailing Fax Number | 8886042214 |
Enumeration Date | 2011-09-11 |
Last Update Date | 2011-09-11 |
Authorized Official Name | DR. LILY YUNG PHILLIPS (CEO) |
Authorized Official Telephone | 9516677780 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
A66038 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Murrieta Family Care | Doing Business As Name - Organization |
Street Address |
24910 LAS BRISAS RD SUITE 106 |
City | MURRIETA |
State | CA |
Zip Code | 92562-4010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275572349 | Jonathan Yujung Yun | Family Medicine | 24910 Las Brisas Rd, Suite 111, Murrieta, CA 92562-4010 | 2006-06-05 |
1003202102 | Jody Taylor | Massage Therapist | 24910 Las Brisas Rd, Murrieta, CA 92562-4010 | 2015-04-15 |
1710398672 | Grace Family Health Inc | Non-Pharmacy Dispensing Site | 24910 Las Brisas Rd, Suite 116, Murrieta, CA 92562-4010 | 2014-05-14 |
1770852568 | Michelle Carolynn Maxfield | Nurse Practitioner | 24910 Las Brisas Rd, Ste 121, Murrieta, CA 92562 | 2011-12-22 |
1548548985 | Grace Family Health, Inc. | Non-Pharmacy Dispensing Site | 24910 Las Brisas Rd, 106, Murrieta, CA 92562-4010 | 2011-08-03 |
1033426028 | Grace Family Health, Inc. | Clinic/Center | 24910 Las Brisas Rd, Suite 105, Murrieta, CA 92562-4010 | 2010-09-12 |
1104149038 | Maria V Santos, Dmd, Inc | Dentist | 24910 Las Brisas Rd, Suite 104, Murrieta, CA 92562-4010 | 2010-03-06 |
1851613939 | Dr Sindu Pillai Md Inc | Specialist | 24910 Las Brisas Rd, Suite 114, Murrieta, CA 92562-4010 | 2010-02-17 |
1972779189 | Martina Chiodi | Obstetrics & Gynecology | 24910 Las Brisas Rd, Suite 108, Murrieta, CA 92562-4010 | 2008-05-07 |
1427237221 | Pamela L. Alvarez, Md Inc. | Psychiatry & Neurology | 24910 Las Brisas Rd, Suite 115, Murrieta, CA 92562-4010 | 2007-10-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1609211457 | An Optimal You | Clinic/Center | 29995 Technology Dr, Suite 203, Murrieta, CA 92563-2632 | 2013-05-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.