SOUTHERN CALIFORNIA PICC PROVIDERS INC. NPI 1255738241

NPI Information

NPI: 1255738241
Provider Name: SOUTHERN CALIFORNIA PICC PROVIDERS, INC.
Classification: Specialist/Technologist Cardiovascular - 246XC2903X
Entity Type: Organization

Specialization: Vascular Specialist

Address:
5787 LITTLE SHAY DR
FONTANA, CA
ZIP 92336
Phone: (909) 251-7730
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SOUTHERN CALIFORNIA PICC PROVIDERS, INC. is a vascular specialist specialist technologist cardiovascular in Fontana, CA. SOUTHERN CALIFORNIA PICC PROVIDERS, INC. NPI is 1255738241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5787 LITTLE SHAY DR
FONTANA, CA
ZIP 92336
Phone: (909) 251-7730
Fax: (909) 251-7735

The provider's authorized official is Maria Catherine Koh Chua .
The authorized official title is Member Of The Board and has the following contact phone number (909) 945-9899.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 7/13/2018.

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	246XC2903X	Specialist/Technologist Cardiovascular	Vascular Specialist			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

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