Provider Type Icon

DIEGO MEDICAL CORPORATION NPI 1225060643


NPI Information

NPI: 1225060643
Provider Name: DIEGO MEDICAL CORPORATION
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0916608

Address:
30 MUSTANG RD
RANCHO PALOS VERDES, CA
ZIP 90275
Phone: (310) 549-2840
Get Directions

DIEGO MEDICAL CORPORATION is a pediatrics in Rancho Palos Verdes, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DIEGO MEDICAL CORPORATION NPI is 1225060643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 MUSTANG RD
RANCHO PALOS VERDES, CA
ZIP 90275-250
Phone: (310) 549-2840
Fax: (310) 549-3115

The provider's authorized official is Alice Diego-malit .
The authorized official title is Physician and has the following contact phone number (310) 549-2840.

The CLIA number assigned to this NPI record is 05D0916608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 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
1208000000XPediatricsA60216CALIFORNIAYes

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.