VIRGINIA ADVANCED MEDICAL CENTER PC NPI 1942451695

NPI Information

NPI: 1942451695
Provider Name: VIRGINIA ADVANCED MEDICAL CENTER, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D2120223

Address:
3930 PENDER DR STE 320
FAIRFAX, VA
ZIP 22030
Phone: (703) 817-7770
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VIRGINIA ADVANCED MEDICAL CENTER, PC is a primary care clinic center in Fairfax, VA. VIRGINIA ADVANCED MEDICAL CENTER, PC NPI is 1942451695. The provider is registered as an organization entity type.

The provider's business location address is:

3930 PENDER DR STE 320
FAIRFAX, VA
ZIP 22030-986
Phone: (703) 817-7770
Fax: (703) 563-6274

The provider's authorized official is Chin Kim .
The authorized official title is Physician and has the following contact phone number (703) 817-7770.

The CLIA number assigned to this NPI record is 49D2120223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 8/22/2011.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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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