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INTERNATIONAL PRE-DIABETES CENTER INC NPI 1376080309


NPI Information

NPI: 1376080309
Provider Name: INTERNATIONAL PRE-DIABETES CENTER INC

Doing Business As: INTERNATIONAL PRE-DIABETES CENTER INC.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
14500 ROSCOE BLVD., 4TH FLOOR
4TH FLOOR
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 714-2066
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INTERNATIONAL PRE-DIABETES CENTER INC is a durable medical equipment medical supplies in Panorama City, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. INTERNATIONAL PRE-DIABETES CENTER INC NPI is 1376080309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As International Pre-diabetes Center Inc..

The provider's business location address is:

14500 ROSCOE BLVD., 4TH FLOOR
4TH FLOOR
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 714-2066
Fax: (818) 387-6224

The provider's authorized official is Yvonne E. Grant .
The authorized official title is Chief Executive Officer (ceo) and has the following contact phone number (818) 625-6756.

The enumeration date for this NPI number is 1/29/2017 and was last updated on 12/22/2021.


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
1163WD0400XRegistered NurseDiabetes EducatorCALIFORNIANo
2251B00000XCase ManagementNo
3251V00000XVoluntary or CharitableCALIFORNIANo
4332B00000XDurable Medical Equipment & Medical SuppliesCALIFORNIAYes
5332B00000XDurable Medical Equipment & Medical SuppliesNo
6332B00000XDurable Medical Equipment & Medical Supplies96123CALIFORNIANo
7332B00000XDurable Medical Equipment & Medical Supplies38828CALIFORNIANo
81835G0303XPharmacistGeriatric10028CALIFORNIANo
9251S00000XCommunity/Behavioral Health38828CALIFORNIANo
10174H00000XHealth EducatorCALIFORNIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17658690001MEDICAIDCALIFORNIA
2200913353OTHERCALIFORNIACERTIFIED DIABETES EDUCATOR
396123OTHERCALIFORNIADIABETES HOME MEDICAL DEVICE, DEPT. OF PUBLIC HEALTH, FOOD & DRUG BRANCH
41376080309MEDICAIDCALIFORNIA

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

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