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SENIOR'S CHOICE MEDICAL GROUP INC. NPI 1023506672


NPI Information

NPI: 1023506672
Provider Name: SENIOR'S CHOICE MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2191937

Address:
8990 SIERRA AVENUE
SUITE J&K
FONTANA, CA
ZIP 92335
Phone: (909) 421-4886
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SENIOR'S CHOICE MEDICAL GROUP, INC. is a family medicine in Fontana, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SENIOR'S CHOICE MEDICAL GROUP, INC. NPI is 1023506672. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8990 SIERRA AVENUE
SUITE J&K
FONTANA, CA
ZIP 92335-772
Phone: (909) 421-4886

The provider's authorized official is Guillermo J. Valenzuela .
The authorized official title is President and has the following contact phone number (909) 580-6333.

The CLIA number assigned to this NPI record is 05D2191937 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 5/29/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.