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GUIAMELON MEDICAL CLINIC INC. NPI 1114084092


NPI Information

NPI: 1114084092
Provider Name: GUIAMELON MEDICAL CLINIC, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
7301 SEPULVEDA BLVD
SUITE 3
VAN NUYS, CA
ZIP 91405
Phone: (818) 786-7710
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GUIAMELON MEDICAL CLINIC, INC. is a pediatrics in Van Nuys, 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. GUIAMELON MEDICAL CLINIC, INC. NPI is 1114084092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7301 SEPULVEDA BLVD
SUITE 3
VAN NUYS, CA
ZIP 91405-782
Phone: (818) 786-7710
Fax: (818) 786-7711

The provider's authorized official is Rita Paraiso Guiamelon .
The authorized official title is President And Medical Director and has the following contact phone number (818) 426-0649.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 9/4/2007.


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
1208000000XPediatricsA84265CALIFORNIAYes

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
1I10559MEDICARE UPINCALIFORNIA
200A842650OTHERCALIFORNIAMEDI-CAL PROVIDER NUMBER
3025209 MD00040515OTHERWASHINGTONMEDICAL LICENSE
4W19696MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP ID
5WA84265AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
6232930OTHERNEW YORKMEDICAL LICENSE
7A84265OTHERCALIFORNIAMEDICAL 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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