| Organization Name: | HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION |
| NPI Number: | 1023436599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER J VASQUEZ (REGIONAL MEDICAL DIRECTOR) |
| Mailing Address: | 3984 Indiana Ave Perris |
| State: | CA US |
| Postal Code: | 925713154 |
| Phone Number: | 9514432543 |
| Fax Number: | 9514432556 |
| NPI Enumeration Date: | 04/02/2014 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |