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RANCHO CAPISTRANO MEDICAL CLINICINC NPI 1235265505


NPI Information

NPI: 1235265505
Provider Name: RANCHO CAPISTRANO MEDICAL CLINIC,INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
34052 LA PLZ STE 103
DANA POINT, CA
ZIP 92629
Phone: (949) 240-2555
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RANCHO CAPISTRANO MEDICAL CLINIC,INC is a clinic center in Dana Point, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RANCHO CAPISTRANO MEDICAL CLINIC,INC NPI is 1235265505. The provider is registered as an organization entity type.

The provider's business location address is:

34052 LA PLZ STE 103
DANA POINT, CA
ZIP 92629-571
Phone: (949) 240-2555
Fax: (949) 240-2121

The provider's authorized official is Shilpa Jagdish Gaikwad .
The authorized official title is President and has the following contact phone number (949) 240-2555.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 9/21/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W17275MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2Y09874MEDICARE UPIN

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

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