FANNIES DAUGHTERS MEDICAL PC NPI 1023490216

NPI Information

NPI: 1023490216
Provider Name: FANNIES DAUGHTERS MEDICAL PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
3650 W MARTIN LUTHER KING JR BLVD
185
LOS ANGELES, CA
ZIP 90008
Phone: (323) 294-4266
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FANNIES DAUGHTERS MEDICAL PC is an urgent care clinic center in Los Angeles, CA. FANNIES DAUGHTERS MEDICAL PC NPI is 1023490216. The provider is registered as an organization entity type.

The provider's business location address is:

3650 W MARTIN LUTHER KING JR BLVD
185
LOS ANGELES, CA
ZIP 90008-700
Phone: (323) 294-4266

The provider's authorized official is Vanessa Mckenzie .
The authorized official title is Owner and has the following contact phone number (901) 412-4345.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/24/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	A45867	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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