PROHEALTH MEDICAL GROUP INC NPI 1376819821

NPI Information

NPI: 1376819821
Provider Name: PROHEALTH MEDICAL GROUP, INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2023758

Address:
10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA
ZIP 91345
Phone: (818) 302-0759
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PROHEALTH MEDICAL GROUP, INC is a multi-specialty clinic center in Mission Hills, CA. PROHEALTH MEDICAL GROUP, INC NPI is 1376819821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA
ZIP 91345-937
Phone: (818) 302-0759
Fax: (818) 561-3761

The provider's authorized official is Soheil Younai .
The authorized official title is President and has the following contact phone number (818) 246-4800.

The CLIA number assigned to this NPI record is 05D2023758 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 9/26/2019.

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	Primary
1	2083X0100X	Preventive Medicine	Occupational Medicine	No
2	225X00000X	Occupational Therapist		No
3	208D00000X	General Practice		No
4	225100000X	Physical Therapist		No
5	207Q00000X	Family Medicine		No
6	208100000X	Physical Medicine & Rehabilitation		No
7	261QM1300X	Clinic/Center	Multi-Specialty	Yes
8	111N00000X	Chiropractor		No

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

NPI Synchronization or Removal

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