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AURORA MEDICAL CENTER OF SAN FERNANDO INC NPI 1669680443


NPI Information

NPI: 1669680443
Provider Name: AURORA MEDICAL CENTER OF SAN FERNANDO, INC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
405 N MACLAY AVE
SUITE # 104
SAN FERNANDO, CA
ZIP 91340
Phone: (818) 361-3318
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AURORA MEDICAL CENTER OF SAN FERNANDO, INC is an obstetrics obstetrics gynecology in San Fernando, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee AURORA MEDICAL CENTER OF SAN FERNANDO, INC NPI is 1669680443. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 N MACLAY AVE
SUITE # 104
SAN FERNANDO, CA
ZIP 91340-445
Phone: (818) 361-3318
Fax: (818) 361-7309

The provider's authorized official is Rachel Long .
The authorized official title is Medical Director and has the following contact phone number (415) 244-7404.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 11/2/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetricsYes

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
1GR0104540MEDICAIDCALIFORNIA

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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