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ARCADIA PRIMARY CARE PHYSICIANS MEDICAL CORPORATION NPI 1508897752


NPI Information

NPI: 1508897752
Provider Name: ARCADIA PRIMARY CARE PHYSICIANS MEDICAL CORPORATION

Former Legal Business Name: ARCADIA FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0555336

Address:
1505 S BALDWIN AVE # B
ARCADIA, CA
ZIP 91007
Phone: (626) 445-1556
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ARCADIA PRIMARY CARE PHYSICIANS MEDICAL CORPORATION is a family medicine in Arcadia, 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. ARCADIA PRIMARY CARE PHYSICIANS MEDICAL CORPORATION NPI is 1508897752. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Arcadia Family Physicians.

The provider's business location address is:

1505 S BALDWIN AVE # B
ARCADIA, CA
ZIP 91007-925
Phone: (626) 445-1556
Fax: (626) 574-9059

The provider's authorized official is Glenn Michael Ho .
The authorized official title is Ceo and has the following contact phone number (626) 445-1556.

The CLIA number assigned to this NPI record is 05D0555336 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/28/2007.


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 MedicineA38922CALIFORNIAYes

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
1W14363MEDICARE PINCALIFORNIA
200A389220MEDICAIDCALIFORNIA
3A28758MEDICARE UPINCALIFORNIA

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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