HOME CARE MD MEDICAL GROUP NPI 1023644556

NPI Information

NPI: 1023644556
Provider Name: HOME CARE MD MEDICAL GROUP

Doing Business As: HOME CARE MD MEDICAL GROUP

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
100 N BARRANCA ST # 900-J
WEST COVINA, CA
ZIP 91791
Phone: (626) 377-7608
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HOME CARE MD MEDICAL GROUP is a primary care nurse practitioner in West Covina, CA. HOME CARE MD MEDICAL GROUP NPI is 1023644556. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Home Care Md Medical Group.

The provider's business location address is:

100 N BARRANCA ST # 900-J
WEST COVINA, CA
ZIP 91791-637
Phone: (626) 377-7608
Fax: (626) 206-0553

The provider's authorized official is Shylee Bautista Tiamson .
The authorized official title is Nurse Practitioner and has the following contact phone number (310) 292-0117.

The enumeration date for this NPI number is 3/16/2020 and was last updated on 6/14/2021.

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	Primary
1	207Q00000X	Family Medicine		No
2	2083X0100X	Preventive Medicine	Occupational Medicine	No
3	363AM0700X	Physician Assistant	Medical	No
4	363LF0000X	Nurse Practitioner	Family	No
5	363LP2300X	Nurse Practitioner	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: 4/28/2024

NPI Synchronization or Removal

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