HUMANA MEDICAL GROUP INC NPI 1528165149

NPI Information

NPI: 1528165149
Provider Name: HUMANA MEDICAL GROUP INC

Other Name: GEORGE DANIAL D O

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4621 RUBIO AVENUE
ENCINO, CA
ZIP 91436
Phone: (818) 981-0050
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HUMANA MEDICAL GROUP INC is a family medicine in Encino, 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. HUMANA MEDICAL GROUP INC NPI is 1528165149. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is George Danial D O.

The provider's business location address is:

4621 RUBIO AVENUE
ENCINO, CA
ZIP 91436
Phone: (818) 981-0050
Fax: (818) 907-7080

The provider's authorized official is George Danial .
The authorized official title is OWNER PRESIDENTPresident and has the following contact phone number (818) 981-0050.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 6/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		20A4720	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20A4720	OTHER		AETNA
2	20A4720	OTHER		BSBC OF CALIFORNIA
3	P00065141	OTHER	GEORGIA	UNITED HEALTHCARE
4	P00065141	OTHER		RAILROAD MEDICARE
5	C64544	MEDICARE UPIN
6	W13475	MEDICARE ID-TYPE UNSPECIFIED
7	GR0065060	MEDICAID	CALIFORNIA
8	00AX47200	MEDICAID	CALIFORNIA

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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