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MAYFLOWER MEDICAL GROUP INC. NPI 1851872014


NPI Information

NPI: 1851872014
Provider Name: MAYFLOWER MEDICAL GROUP, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D1056610

Address:
1433 N HOLLENBECK AVE STE 104
COVINA, CA
ZIP 91722
Phone: (626) 241-2560
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MAYFLOWER MEDICAL GROUP, INC. is a pediatrics in Covina, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MAYFLOWER MEDICAL GROUP, INC. NPI is 1851872014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1433 N HOLLENBECK AVE STE 104
COVINA, CA
ZIP 91722-558
Phone: (626) 241-2560
Fax: (626) 214-2561

The provider's authorized official is Eleonor Ramirez .
The authorized official title is Office Manager and has the following contact phone number (626) 331-2209.

The CLIA number assigned to this NPI record is 05D1056610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 8/27/2018.


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
1208000000XPediatricsA51499CALIFORNIAYes

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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