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MEMORIAL PROMPT CARE MEDICAL GROUP INC. NPI 1780799494


NPI Information

NPI: 1780799494
Provider Name: MEMORIAL PROMPT CARE MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D1093288

Address:
9122 ADAMS AVE
HUNTINGTON BEACH, CA
ZIP 92646
Phone: (714) 312-0900
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MEMORIAL PROMPT CARE MEDICAL GROUP, INC. is a specialist in Huntington Beach, 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. MEMORIAL PROMPT CARE MEDICAL GROUP, INC. NPI is 1780799494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9122 ADAMS AVE
HUNTINGTON BEACH, CA
ZIP 92646-405
Phone: (714) 312-0900
Fax: (714) 378-5166

The provider's authorized official is Jamie Barton Lewis .
The authorized official title is Executive Director and has the following contact phone number (714) 378-0900.

The CLIA number assigned to this NPI record is 05D1093288 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/20/2006 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
1174400000XSpecialistG34787CALIFORNIAYes

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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