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AGILENCE ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER INC. NPI 1073649612


NPI Information

NPI: 1073649612
Provider Name: AGILENCE ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC.
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
12291 WASHINGTON BLVD
SUITE 300
WHITTIER, CA
ZIP 90606
Phone: (562) 945-7252
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AGILENCE ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC. is a rheumatology internal medicine in Whittier, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. AGILENCE ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC. NPI is 1073649612. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12291 WASHINGTON BLVD
SUITE 300
WHITTIER, CA
ZIP 90606-500
Phone: (562) 945-7252
Fax: (562) 945-0122

The provider's authorized official is Naveen Raja .
The authorized official title is President and has the following contact phone number (562) 945-7252.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.


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
1207RR0500XInternal MedicineRheumatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0092590MEDICAIDCALIFORNIA

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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