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HEALTH SERVICE ALLIANCE NPI 1801307368


NPI Information

NPI: 1801307368
Provider Name: HEALTH SERVICE ALLIANCE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13193 CENTRAL AVE
CHINO, CA
ZIP 91710
Phone: (909) 464-9675
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HEALTH SERVICE ALLIANCE is a family medicine in Chino, CA. 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. HEALTH SERVICE ALLIANCE NPI is 1801307368. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13193 CENTRAL AVE
CHINO, CA
ZIP 91710-179
Phone: (909) 464-9675
Fax: (909) 590-3898

The provider's authorized official is James Lally .
The authorized official title is President and has the following contact phone number (909) 281-5800.

The enumeration date for this NPI number is 10/23/2017 and was last updated on 10/19/2023.


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
1103T00000XPsychologistNo
2207Q00000XFamily MedicineYes

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
11407306772MEDICAIDCALIFORNIA
21720120744MEDICAIDCALIFORNIA

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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