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NOALAB MEDICAL CLINIC INC NPI 1619226347


NPI Information

NPI: 1619226347
Provider Name: NOALAB MEDICAL CLINIC INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6428 COLDWATER CANYON AVE
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 308-6440
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NOALAB MEDICAL CLINIC INC is a general practice in North Hollywood, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NOALAB MEDICAL CLINIC INC NPI is 1619226347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6428 COLDWATER CANYON AVE
NORTH HOLLYWOOD, CA
ZIP 91606-113
Phone: (818) 308-6440
Fax: (818) 308-6351

The provider's authorized official is Jihad S Al-imami .
The authorized official title is President/ceo and has the following contact phone number (818) 308-6440.

The enumeration date for this NPI number is 9/10/2012 and was last updated on 9/10/2012.


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
1208D00000XGeneral PracticeA30092CALIFORNIAYes

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
1A30092MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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