ATLANTIC HEALTHCARE NPI 1306069109

NPI Information

NPI: 1306069109
Provider Name: ATLANTIC HEALTHCARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
901 E VALLEY BLVD
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 308-0805
Get Directions

ATLANTIC HEALTHCARE is a family medicine in San Gabriel, 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. ATLANTIC HEALTHCARE NPI is 1306069109. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 E VALLEY BLVD
SAN GABRIEL, CA
ZIP 91776-608
Phone: (626) 308-0805
Fax: (626) 280-1616

The provider's authorized official is Philip Z Wang .
The authorized official title is President and has the following contact phone number (626) 308-0805.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/14/2016.

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	License Number	License State	Primary
1	171100000X	Acupuncturist	AC8801	CALIFORNIA	No
2	208D00000X	General Practice	A72461	CALIFORNIA	No
3	207Q00000X	Family Medicine	A72461A	CALIFORNIA	Yes

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
1	A72461A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PHYSICIAN

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: 4/28/2024

NPI Synchronization or Removal

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