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CENTRAL COUNTY CHEST MEDICAL GROUP INC NPI 1225063340


NPI Information

NPI: 1225063340
Provider Name: CENTRAL COUNTY CHEST MEDICAL GROUP, INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
11180 WARNER AVE STE 253
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 979-2825
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CENTRAL COUNTY CHEST MEDICAL GROUP, INC is an internal medicine in Fountain Valley, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTRAL COUNTY CHEST MEDICAL GROUP, INC NPI is 1225063340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11180 WARNER AVE STE 253
FOUNTAIN VALLEY, CA
ZIP 92708-515
Phone: (714) 979-2825
Fax: (714) 979-2862

The provider's authorized official is Mary Aguirre .
The authorized official title is Office Manager and has the following contact phone number (714) 979-2825.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/13/2010.


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
1207RC0200XInternal MedicineCritical Care MedicineA43693CALIFORNIANo
2207RP1001XInternal MedicinePulmonary DiseaseA43693CALIFORNIANo
3207R00000XInternal MedicineA42385CALIFORNIANo
4207RP1001XInternal MedicinePulmonary DiseaseA42385CALIFORNIANo
5207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIAAETNA
2GR0053330OTHERCALIFORNIACAL-OPTIMA
3=========OTHERCALIFORNIABLUE CROSS OF CALIFORNIA
4=========OTHERCALIFORNIAUNITED HEALTHCARE/PACIFICARE
5A42385OTHERCALIFORNIASTATE LIC
6W11174OTHERCALIFORNIAMEDICARE GROUP NUMBER
7ZZZ33736ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
8A43693OTHERCALIFORNIASTATE LIC

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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