ABSOLUTE CARE MEDICAL GROUP INC NPI 1003302647

NPI Information

NPI: 1003302647
Provider Name: ABSOLUTE CARE MEDICAL GROUP, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1499 HUNTINGTON DR STE 305
SOUTH PASADENA, CA
ZIP 91030
Phone: (626) 373-7932
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ABSOLUTE CARE MEDICAL GROUP, INC is a primary care clinic center in South Pasadena, CA. ABSOLUTE CARE MEDICAL GROUP, INC NPI is 1003302647. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1499 HUNTINGTON DR STE 305
SOUTH PASADENA, CA
ZIP 91030-447
Phone: (626) 373-7932

The provider's authorized official is Joshua Chavez Menghamal .
The authorized official title is President and has the following contact phone number (626) 373-7932.

The enumeration date for this NPI number is 7/6/2018 and was last updated on 7/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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