New Creation Health
Nurse Practitioner, Primary Care in Winchester, CA. Organization (NPI-2).
NPI number1104790484
StatusActive
Last updated in NPPESOct 1, 2025
Details
- NPI
- 1104790484
- Entity type
- Organization (NPI-2)
- Legal business name
- New Creation Health
- Organization subpart
- No
- Enumeration date
- Oct 1, 2025
- Certification date
- Oct 1, 2025
- Last updated
- Oct 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
31649 Leather Wood DrWinchester, CA 92596-9656
Phone 951-635-6161
Mailing address
30724 Benton Rd Ste C302Winchester, CA 92596-8470
Phone 951-635-6161
Authorized official
Lyzette Christine Sanchez
Owner
9516356161
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