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SAN MANUEL MEDICAL CLINIC INC. NPI 1194071225


NPI Information

NPI: 1194071225
Provider Name: SAN MANUEL MEDICAL CLINIC INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7400 PACIFIC BLVD
STE A
WALNUT PARK, CA
ZIP 90255
Phone: (323) 584-8881
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SAN MANUEL MEDICAL CLINIC INC. is a specialist in Walnut Park, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN MANUEL MEDICAL CLINIC INC. NPI is 1194071225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7400 PACIFIC BLVD
STE A
WALNUT PARK, CA
ZIP 90255-739
Phone: (323) 584-8881
Fax: (323) 584-8882

The provider's authorized official is Anjana Sura .
The authorized official title is Director and has the following contact phone number (323) 584-8881.

The enumeration date for this NPI number is 7/26/2012 and was last updated on 7/26/2012.


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
1174400000XSpecialistA30390CALIFORNIAYes

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: 11/14/2023

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