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SUNDARAM FAMILY MEDICAL CLINIC INC. NPI 1992039473


NPI Information

NPI: 1992039473
Provider Name: SUNDARAM FAMILY MEDICAL CLINIC INC.

Doing Business As: SUNDARAM FAMILY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9217 WHITTIER BLVD
PICO RIVERA, CA
ZIP 90660
Phone: (562) 699-5888
Get Directions

SUNDARAM FAMILY MEDICAL CLINIC INC. is a family medicine in Pico Rivera, 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. SUNDARAM FAMILY MEDICAL CLINIC INC. NPI is 1992039473. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sundaram Family Medical Clinic.

The provider's business location address is:

9217 WHITTIER BLVD
PICO RIVERA, CA
ZIP 90660-450
Phone: (562) 699-5888
Fax: (562) 699-2955

The provider's authorized official is Jawahar Sundaram .
The authorized official title is Owner and has the following contact phone number (562) 699-5888.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 6/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA92178CALIFORNIANo
2207Q00000XFamily MedicinePA15565CALIFORNIANo
3207Q00000XFamily MedicinePA19004CALIFORNIANo
4207Q00000XFamily MedicineA67659CALIFORNIAYes

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
1PA21327MEDICAIDCALIFORNIA
220A7566MEDICAIDCALIFORNIA
3PA21547MEDICAIDCALIFORNIA

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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