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MAYFLOWER MEDICAL GROUP INC. NPI 1235232620


NPI Information

NPI: 1235232620
Provider Name: MAYFLOWER MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D2088161

Address:
1433 W MERCED AVE
#216
WEST COVINA, CA
ZIP 91790
Phone: (626) 388-3553
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MAYFLOWER MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in West Covina, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MAYFLOWER MEDICAL GROUP, INC. NPI is 1235232620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1433 W MERCED AVE
#216
WEST COVINA, CA
ZIP 91790-402
Phone: (626) 388-3553
Fax: (626) 338-5432

The provider's authorized official is Prakash Patel .
The authorized official title is President and has the following contact phone number (626) 338-3553.

The CLIA number assigned to this NPI record is 05D2088161 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 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
1207RC0000XInternal MedicineCardiovascular DiseaseA34471CALIFORNIAYes

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
1A34471OTHERCALIFORNIAMEDICAL LICENSE

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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