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JPB MEDICAL GROUP INC NPI 1518081652


NPI Information

NPI: 1518081652
Provider Name: JPB MEDICAL GROUP INC

Doing Business As: CENTURY MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0699902

Address:
15243 VANOWEN ST
STE 406
VAN NUYS, CA
ZIP 91405
Phone: (818) 780-2106
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JPB MEDICAL GROUP INC is an internal medicine in Van Nuys, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JPB MEDICAL GROUP INC NPI is 1518081652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Century Medical Group.

The provider's business location address is:

15243 VANOWEN ST
STE 406
VAN NUYS, CA
ZIP 91405-605
Phone: (818) 780-2106
Fax: (818) 780-4271

The provider's authorized official is Denise Phan .
The authorized official title is President and has the following contact phone number (818) 780-2106.

The CLIA number assigned to this NPI record is 05D0699902 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/19/2009.


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 MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineNo
3207R00000XInternal MedicineYes

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
1W13653AMEDICARE PINCALIFORNIA

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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