CLINICA MEDICA SANTA ISABEL INC NPI 1821257437

NPI Information

NPI: 1821257437
Provider Name: CLINICA MEDICA SANTA ISABEL INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1101 N PACIFIC AVE
SUITE 104
GLENDALE, CA
ZIP 91202
Phone: (818) 552-5000
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CLINICA MEDICA SANTA ISABEL INC is a general practice in Glendale, CA. CLINICA MEDICA SANTA ISABEL INC NPI is 1821257437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1101 N PACIFIC AVE
SUITE 104
GLENDALE, CA
ZIP 91202-313
Phone: (818) 552-5000
Fax: (818) 662-9605

The provider's authorized official is Howard Pfupajena .
The authorized official title is Owner and has the following contact phone number (818) 552-5000.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 2/25/2009.

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
1	208D00000X	General Practice		G29345	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BG111	MEDICARE PIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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