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CITRUS VALLEY URGENT CARE MEDICAL GROUP INC. NPI 1467635276


NPI Information

NPI: 1467635276
Provider Name: CITRUS VALLEY URGENT CARE MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0970134

Address:
854 MAGNOLIA AVE
STE. 101
CORONA, CA
ZIP 92879
Phone: (951) 737-0910
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CITRUS VALLEY URGENT CARE MEDICAL GROUP, INC. is a family medicine in Corona, 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. CITRUS VALLEY URGENT CARE MEDICAL GROUP, INC. NPI is 1467635276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

854 MAGNOLIA AVE
STE. 101
CORONA, CA
ZIP 92879-109
Phone: (951) 737-0910

The provider's authorized official is Robert Guy Nelson .
The authorized official title is Manager and has the following contact phone number (951) 737-0910.

The CLIA number assigned to this NPI record is 05D0970134 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.


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 MedicineC2181465CALIFORNIAYes

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
1ZZZ23554ZOTHERCALIFORNIAMEDICARE GROUP ID

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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