| Organization Name: | JAMES P. KRIEG M.D., MED CORP |
| NPI Number: | 1043614316 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES P KRIEG (PHYSICIAN) |
| Mailing Address: | 29826 Haun Rd Suite 203 Menifee |
| State: | CA US |
| Postal Code: | 925866546 |
| Phone Number: | 9516721911 |
| Fax Number: | 9516728406 |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 52048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |