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PC MEDICAL CLINIC INC NPI 1093814113


NPI Information

NPI: 1093814113
Provider Name: PC MEDICAL CLINIC INC

Other Name: MARINA GOLD MD

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
27141 HIDAWAY AVE STE 204
SANTA CLARITA, CA
ZIP 91351
Phone: (661) 397-1177
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PC MEDICAL CLINIC INC is a general practice in Santa Clarita, 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 PC MEDICAL CLINIC INC NPI is 1093814113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Marina Gold Md.

The provider's business location address is:

27141 HIDAWAY AVE STE 204
SANTA CLARITA, CA
ZIP 91351-147
Phone: (661) 397-1177
Fax: (661) 397-6175

The provider's authorized official is Marina Gold .
The authorized official title is Owner and has the following contact phone number (661) 293-1177.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes
2363LF0000XNurse PractitionerFamilyNo

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
1GR0069470MEDICAIDCALIFORNIA
2010061609OTHERCALIFORNIARAILROAD MEDICARE
3ZZZ44181ZOTHERCALIFORNIABLUE SHIELD

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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