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SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC INC NPI 1093907578


NPI Information

NPI: 1093907578
Provider Name: SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
8401 LONG BEACH BLVD
SOUTH GATE, CA
ZIP 90280
Phone: (562) 822-5750
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SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC is a pediatrics in South Gate, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC NPI is 1093907578. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8401 LONG BEACH BLVD
SOUTH GATE, CA
ZIP 90280-014
Phone: (562) 822-5750

The provider's authorized official is Thomas H.t. Lin .
The authorized official title is M.d. / Owner and has the following contact phone number (562) 822-5750.

The enumeration date for this NPI number is 8/17/2007 and was last updated on 6/21/2018.


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 & GynecologyA64211CALIFORNIANo
2363A00000XPhysician AssistantPA15984CALIFORNIANo
3208000000XPediatricsA64211CALIFORNIAYes

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
1=========OTHERCALIFORNIATAX ID#
2A64211OTHERCALIFORNIASTATE LICENSE
3GR0092891MEDICAIDCALIFORNIA
4PA15984OTHERCALIFORNIASTATE LICENSE

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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