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FIRSTSOTO MEDICAL GROUP NPI 1902901762


NPI Information

NPI: 1902901762
Provider Name: FIRSTSOTO MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2680 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 588-4004
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FIRSTSOTO MEDICAL GROUP is a family medicine in Huntington Park, 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. FIRSTSOTO MEDICAL GROUP NPI is 1902901762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2680 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255-708
Phone: (323) 588-4004
Fax: (323) 588-5241

The provider's authorized official is Constant Chan .
The authorized official title is President and has the following contact phone number (323) 588-4004.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 5/27/2008.


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 MedicineGR0054550CALIFORNIAYes

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
100A401740MEDICAIDCALIFORNIA
2A85400MEDICARE UPINCALIFORNIA
3A40174MEDICARE PINCALIFORNIA
4A28307MEDICARE UPINCALIFORNIA
5GR0054550MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALICENSE
6A37125MEDICARE PINCALIFORNIA
7GR0054550MEDICAIDCALIFORNIA
800A371250MEDICAIDCALIFORNIA

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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