Provider Demographics
NPI:1124466289
Name:MURRIETA MEDICAL THERAPY UNIT
Entity type:Organization
Organization Name:MURRIETA MEDICAL THERAPY UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHO - ADMIN PHYSICIAN III
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:WON-CHEN
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-358-5121
Mailing Address - Street 1:41350 GUAVA ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41350 GUAVA ST
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9305
Practice Address - Country:US
Practice Address - Phone:951-358-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF RIVERSIDE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-11
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare