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CENTINELA VALLEY IPA MEDICAL GROUP NPI 1164552378


NPI Information

NPI: 1164552378
Provider Name: CENTINELA VALLEY IPA MEDICAL GROUP
Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
955 OVERLAND CT FL 2
SAN DIMAS, CA
ZIP 91773
Phone: (909) 971-6717
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CENTINELA VALLEY IPA MEDICAL GROUP is a contractor in San Dimas, CA. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). CENTINELA VALLEY IPA MEDICAL GROUP NPI is 1164552378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

955 OVERLAND CT FL 2
SAN DIMAS, CA
ZIP 91773-718
Phone: (909) 971-6717

The provider's authorized official is Anitha Mitchell .
The authorized official title is President and has the following contact phone number (310) 673-9499.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


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
1171W00000XContractor171W00000XCALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.