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CLINICA MEDICA INTERNACIONAL INC NPI 1427123504


NPI Information

NPI: 1427123504
Provider Name: CLINICA MEDICA INTERNACIONAL, INC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
7444 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 765-4917
Get Directions

CLINICA MEDICA INTERNACIONAL, INC is a preferred provider organization in North Hollywood, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. CLINICA MEDICA INTERNACIONAL, INC NPI is 1427123504. The provider is registered as an organization entity type.

The provider's business location address is:

7444 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
ZIP 91605-801
Phone: (818) 765-4917
Fax: (818) 765-0804

The provider's authorized official is Manuel Ernesto Umanzor .
The authorized official title is Pa and has the following contact phone number (818) 765-4917.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 1/6/2011.


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
1305R00000XPreferred Provider Organization00A357301CALIFORNIAYes

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
100A357301MEDICAIDCALIFORNIA

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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