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KIM-WAYNE MEDICAL ENTERPRISES INC NPI 1285927897


NPI Information

NPI: 1285927897
Provider Name: KIM-WAYNE MEDICAL ENTERPRISES INC

Doing Business As: HEALTHY FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0916518

Address:
218 W BADILLO ST
COVINA, CA
ZIP 91723
Phone: (626) 332-6234
Get Directions

KIM-WAYNE MEDICAL ENTERPRISES INC is a family medicine in Covina, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KIM-WAYNE MEDICAL ENTERPRISES INC NPI is 1285927897. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthy Family Medical Center.

The provider's business location address is:

218 W BADILLO ST
COVINA, CA
ZIP 91723-906
Phone: (626) 332-6234
Fax: (626) 331-1264

The provider's authorized official is Jeffrey Kim-waynbe Gin .
The authorized official title is Ceo and has the following contact phone number (626) 696-9078.

The CLIA number assigned to this NPI record is 05D0916518 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 5/16/2011.


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
1207Q00000XFamily MedicineA101609CALIFORNIAYes

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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