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MEDICAL SPECIALTY CENTER NPI 1952640898


NPI Information

NPI: 1952640898
Provider Name: MEDICAL SPECIALTY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2048387

Address:
57402 29 PALMS HWY
STE 3
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 821-5551
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MEDICAL SPECIALTY CENTER is an ambulatory surgical clinic center in Yucca Valley, CA. MEDICAL SPECIALTY CENTER NPI is 1952640898. The provider is registered as an organization entity type.

The provider's business location address is:

57402 29 PALMS HWY
STE 3
YUCCA VALLEY, CA
ZIP 92284-950
Phone: (760) 821-5551
Fax: (760) 365-2524

The provider's authorized official is Jeffrey David Seip .
The authorized official title is Owner and has the following contact phone number (760) 365-2520.

The CLIA number assigned to this NPI record is 05D2048387 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.


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
1261QA1903XClinic/CenterAmbulatory Surgical4817CALIFORNIAYes

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
14817OTHERCALIFORNIAAAAASF CERTIFICATION

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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