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CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC. NPI 1134497985


NPI Information

NPI: 1134497985
Provider Name: CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
6815 NOBLE AVE
SUITE 105
VAN NUYS, CA
ZIP 91405
Phone: (818) 781-6684
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CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC. is a non pharmacy dispensing site in Van Nuys, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC. NPI is 1134497985. The provider is registered as an organization entity type.

The provider's business location address is:

6815 NOBLE AVE
SUITE 105
VAN NUYS, CA
ZIP 91405
Phone: (818) 781-6684

The provider's authorized official is Jayson Hymes .
The authorized official title is President and has the following contact phone number (818) 781-6684.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 7/17/2018.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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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