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FARO T. OWIESY M.D. INC NPI 1891724886


NPI Information

NPI: 1891724886
Provider Name: FARO T. OWIESY, M.D., INC

Doing Business As: CORONA DOCTORS MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1060795

Address:
802 MAGNOLIA AVE
SUITE 106
CORONA, CA
ZIP 92879
Phone: (951) 371-9500
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FARO T. OWIESY, M.D., INC is a family medicine in Corona, 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. FARO T. OWIESY, M.D., INC NPI is 1891724886. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corona Doctors Medical Clinic.

The provider's business location address is:

802 MAGNOLIA AVE
SUITE 106
CORONA, CA
ZIP 92879-125
Phone: (951) 371-9500
Fax: (951) 371-9194

The provider's authorized official is Faro T. Owiesy .
The authorized official title is Medical Director and has the following contact phone number (951) 371-9500.

The CLIA number assigned to this NPI record is 05D1060795 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 12/11/2013.


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
1207Q00000XFamily MedicineA87796CALIFORNIAYes

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
1I 12198MEDICARE UPINCALIFORNIA

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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