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FIRST IMPACT MEDICAL GROUP INC NPI 1518224740


NPI Information

NPI: 1518224740
Provider Name: FIRST IMPACT MEDICAL GROUP, INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
6700 INDIANA AVE
SUITE 145
RIVERSIDE, CA
ZIP 92506
Phone: (888) 951-9511
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FIRST IMPACT MEDICAL GROUP, INC is an internal medicine in Riverside, 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. FIRST IMPACT MEDICAL GROUP, INC NPI is 1518224740. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6700 INDIANA AVE
SUITE 145
RIVERSIDE, CA
ZIP 92506-290
Phone: (888) 951-9511

The provider's authorized official is Nick Mashour .
The authorized official title is Medical Director and has the following contact phone number (888) 951-9511.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.


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
1103T00000XPsychologistPSY9462CALIFORNIANo
2111N00000XChiropractor21702CALIFORNIANo
3171100000XAcupuncturist13813CALIFORNIANo
4208100000XPhysical Medicine & RehabilitationA79570CALIFORNIANo
5213E00000XPodiatrist4540CALIFORNIANo
6207R00000XInternal MedicineA72007CALIFORNIAYes

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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