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EL MONTE FAMILY MEDICAL GROUP NPI 1073680757


NPI Information

NPI: 1073680757
Provider Name: EL MONTE FAMILY MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
11227 VALLEY BLVD
EL MONTE, CA
ZIP 91731
Phone: (626) 442-7077
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EL MONTE FAMILY MEDICAL GROUP is a general practice in El Monte, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EL MONTE FAMILY MEDICAL GROUP NPI is 1073680757. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11227 VALLEY BLVD
EL MONTE, CA
ZIP 91731
Phone: (626) 442-7077
Fax: (626) 442-2640

The provider's authorized official is Wael Dagher .
The authorized official title is President Physician and has the following contact phone number (626) 442-7077.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/9/2017.


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
1207V00000XObstetrics & GynecologyNo
2208000000XPediatricsNo
3208D00000XGeneral PracticeYes

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
11073680757MEDICAIDCALIFORNIA
2W14612MEDICARE ID-TYPE UNSPECIFIED

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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