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PACIFIC HORIZON MEDICAL CENTER INC. NPI 1285826669


NPI Information

NPI: 1285826669
Provider Name: PACIFIC HORIZON MEDICAL CENTER INC.

Doing Business As: PACIFIC ROYAL MEDICAL CENTER INC.

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0997660

Address:
316 E LAS TUNAS DR STE 102
316 E. LAS TUNAS DRIVE, SUITE 102
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 300-8880
Get Directions

PACIFIC HORIZON MEDICAL CENTER INC. is a clinic center in San Gabriel, 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). PACIFIC HORIZON MEDICAL CENTER INC. NPI is 1285826669. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Royal Medical Center Inc..

The provider's business location address is:

316 E LAS TUNAS DR STE 102
316 E. LAS TUNAS DRIVE, SUITE 102
SAN GABRIEL, CA
ZIP 91776-535
Phone: (626) 300-8880
Fax: (626) 300-8811

The provider's authorized official is Zhi Zeng .
The authorized official title is President/ceo and has the following contact phone number (626) 300-8880.

The CLIA number assigned to this NPI record is 05D0997660 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 2/1/2017.


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/CenterA70119CALIFORNIAYes

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
1H70257MEDICARE UPIN
200A701190MEDICAIDCALIFORNIA
3W15904MEDICARE PIN

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

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.