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CRESCENTA FAMILY MEDICAL INC. NPI 1548325228


NPI Information

NPI: 1548325228
Provider Name: CRESCENTA FAMILY MEDICAL, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2048 MONTROSE AVE
MONTROSE, CA
ZIP 91020
Phone: (818) 957-7612
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CRESCENTA FAMILY MEDICAL, INC. is a specialist in Montrose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CRESCENTA FAMILY MEDICAL, INC. NPI is 1548325228. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2048 MONTROSE AVE
MONTROSE, CA
ZIP 91020-605
Phone: (818) 957-7612

The provider's authorized official is Gary T. Weckbacher .
The authorized official title is Secretary and has the following contact phone number (818) 957-7612.

The enumeration date for this NPI number is 12/24/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialistDC18169CALIFORNIAYes

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: 11/14/2023

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