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AUTUMN MEDICAL CLINIC NPI 1124208087


NPI Information

NPI: 1124208087
Provider Name: AUTUMN MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9200 COLIMA RD
SUITE 207
WHITTIER, CA
ZIP 90605
Phone: (562) 945-0252
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AUTUMN MEDICAL CLINIC is a family medicine in Whittier, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AUTUMN MEDICAL CLINIC NPI is 1124208087. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9200 COLIMA RD
SUITE 207
WHITTIER, CA
ZIP 90605-814
Phone: (562) 945-0252
Fax: (562) 945-0901

The provider's authorized official is Mehrunisa Mohammedi .
The authorized official title is Ceo and has the following contact phone number (562) 945-0252.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.


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
1208D00000XGeneral PracticeA25926CALIFORNIANo
2207Q00000XFamily MedicineA84718CALIFORNIAYes

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
1E50033MEDICARE UPINCALIFORNIA
200A259260MEDICAIDCALIFORNIA
39731516MEDICARE PINCALIFORNIA
4WA84718AMEDICARE PINCALIFORNIA
5WA25926CMEDICARE PINCALIFORNIA
6I51173MEDICARE UPINCALIFORNIA

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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