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SANTA ROSA FAMILY MEDICAL CLINIC NPI 1023039765


NPI Information

NPI: 1023039765
Provider Name: SANTA ROSA FAMILY MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4055 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023
Phone: (323) 261-4641
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SANTA ROSA FAMILY MEDICAL CLINIC is a family medicine in Los Angeles, 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. SANTA ROSA FAMILY MEDICAL CLINIC NPI is 1023039765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4055 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023-536
Phone: (323) 261-4641
Fax: (323) 261-4757

The provider's authorized official is Rafael Antonio Serna .
The authorized official title is Medical and has the following contact phone number (323) 804-6569.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.


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 MedicineYes
2207V00000XObstetrics & GynecologyX

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: 11/14/2023

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