Organization · Type 2 NPI

Epigenesis

Surgery Physician · Riverside, CA

NPI number 1124306808 Active

Practice location

3390 University Ave Ste 640
Riverside, CA 92501-3314

Fax (951) 742-5134

Mailing address

32158 Camino Capistrano # A267
San Juan Capistrano, CA 92675-3720

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X00G431511 (CA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1124306808

Epigenesis's National Provider Identifier is 1124306808, issued on Jul 28, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Riverside, CA. The record was last updated on Sep 28, 2026.