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GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY NPI 1043449192


NPI Information

NPI: 1043449192
Provider Name: GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0674759

Address:
41210 11TH ST W
SUITE C
PALMDALE, CA
ZIP 93551
Phone: (661) 947-7100
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GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY is a specialist in Palmdale, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY NPI is 1043449192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41210 11TH ST W
SUITE C
PALMDALE, CA
ZIP 93551-447
Phone: (661) 947-7100
Fax: (661) 947-5151

The provider's authorized official is Antonette Abatti .
The authorized official title is Business Administrator and has the following contact phone number (661) 947-7100.

The CLIA number assigned to this NPI record is 05D0674759 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 7/10/2009.


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
1174400000XSpecialistG50780CALIFORNIAYes

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

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