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RAFAEL MEDICUS CLINIC CORP. NPI 1558718684


NPI Information

NPI: 1558718684
Provider Name: RAFAEL MEDICUS CLINIC, CORP.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7424 BRIDGEPORT WAY WEST
SUITE 301
LAKEWOOD, WA
ZIP 98499
Phone: (253) 474-5141
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RAFAEL MEDICUS CLINIC, CORP. is a family medicine in Lakewood, WA. 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. RAFAEL MEDICUS CLINIC, CORP. NPI is 1558718684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7424 BRIDGEPORT WAY WEST
SUITE 301
LAKEWOOD, WA
ZIP 98499-135
Phone: (253) 474-5141
Fax: (253) 474-5507

The provider's authorized official is Glenn Noel Padilla Ruiz .
The authorized official title is President and has the following contact phone number (253) 474-5141.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.


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
1207Q00000XFamily MedicineMD00024942WASHINGTONYes

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: 5/5/2024

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