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NU LIFE MEDICAL GROUP NPI 1891176350


NPI Information

NPI: 1891176350
Provider Name: NU LIFE MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
31371 RANCHO VIEJO RD STE 104
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 565-0444
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NU LIFE MEDICAL GROUP is a general practice in San Juan Capistrano, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NU LIFE MEDICAL GROUP NPI is 1891176350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31371 RANCHO VIEJO RD STE 104
SAN JUAN CAPISTRANO, CA
ZIP 92675-848
Phone: (949) 565-0444

The provider's authorized official is Hessam Eftekhari .
The authorized official title is Owner and has the following contact phone number (619) 957-4726.

The enumeration date for this NPI number is 6/10/2015 and was last updated on 10/13/2015.


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
1103K00000XBehavior Analyst20A9311CALIFORNIANo
2207LA0401XAnesthesiologyAddiction Medicine20A9311CALIFORNIANo
3207LP2900XAnesthesiologyPain Medicine20A9311CALIFORNIANo
4207QA0401XFamily MedicineAddiction Medicine20A9311CALIFORNIANo
5208VP0000XPain MedicinePain Medicine20A9311CALIFORNIANo
6208D00000XGeneral Practice20A9311CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.