PROVIDENCE FACEY MEDICAL FOUNDATION NPI 1194083824

NPI Information

NPI: 1194083824
Provider Name: PROVIDENCE FACEY MEDICAL FOUNDATION

Doing Business As: FACEY ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
11333 SEPULVEDA BLVD
SUITE 3200
MISSION HILLS, CA
ZIP 91345
Phone: (818) 837-5776
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PROVIDENCE FACEY MEDICAL FOUNDATION is an ambulatory surgical clinic center in Mission Hills, CA. PROVIDENCE FACEY MEDICAL FOUNDATION NPI is 1194083824. The provider is registered as an organization entity type.
The provider Is Doing Business As Facey Endoscopy Center.

The provider's business location address is:

11333 SEPULVEDA BLVD
SUITE 3200
MISSION HILLS, CA
ZIP 91345-116
Phone: (818) 837-5776
Fax: (818) 837-5810

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 3/3/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 5/5/2024

NPI Synchronization or Removal

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