CITRUS MEDICAL CLINIC PROFESSIONAL CORP NPI 1013605187

NPI Information

  • NPI: 1013605187
  • Provider Name: CITRUS MEDICAL CLINIC PROFESSIONAL CORP
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 05D2292172
  • Address: 10900 WARNER AVE STE 111
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 369-2554

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NPI Details

CITRUS MEDICAL CLINIC PROFESSIONAL CORP is a primary care clinic center in Fountain Valley, CA. CITRUS MEDICAL CLINIC PROFESSIONAL CORP NPI is 1013605187. The provider is registered as an organization entity type.

The provider's business location address is:

10900 WARNER AVE STE 111
FOUNTAIN VALLEY, CA
ZIP 92708-846
Phone: (714) 369-2554

The provider's authorized official is Alvaro Valenzuela .
The authorized official title is General Manager and has the following contact phone number (559) 630-8444.

The CLIA number assigned to this NPI record is 05D2292172 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 4/27/2023.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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