Provider Type Icon

MY FAMILY CLINIC INC NPI 1982097226


NPI Information

NPI: 1982097226
Provider Name: MY FAMILY CLINIC INC
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
81709 DR CARREON BLVD
STE C5
INDIO, CA
ZIP 92201
Phone: (760) 772-0685
Get Directions

MY FAMILY CLINIC INC is a general practice registered nurse in Indio, CA. MY FAMILY CLINIC INC NPI is 1982097226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

81709 DR CARREON BLVD
STE C5
INDIO, CA
ZIP 92201-509
Phone: (760) 772-0685

The provider's authorized official is Erroll Wilson .
The authorized official title is Provider and has the following contact phone number (760) 799-4957.

The enumeration date for this NPI number is 3/11/2015 and was last updated on 3/11/2015.


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
1163WG0000XRegistered NurseGeneral PracticeYes

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.