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ROSALIND G. PALLIVATHUCAL MD INC. NPI 1033244611


NPI Information

NPI: 1033244611
Provider Name: ROSALIND G. PALLIVATHUCAL MD INC.

Doing Business As: CLINICA MARIA MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0918718

Address:
8100 CALIFORNIA AVE
SUITE K
SOUTH GATE, CA
ZIP 90280
Phone: (323) 357-1000
Get Directions

ROSALIND G. PALLIVATHUCAL MD INC. is a family medicine in South Gate, 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. ROSALIND G. PALLIVATHUCAL MD INC. NPI is 1033244611. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinica Maria Medical Center.

The provider's business location address is:

8100 CALIFORNIA AVE
SUITE K
SOUTH GATE, CA
ZIP 90280-469
Phone: (323) 357-1000
Fax: (323) 357-1001

The provider's authorized official is Rosalind George Pallivathucal .
The authorized official title is Medical Director and has the following contact phone number (323) 357-1000.

The CLIA number assigned to this NPI record is 05D0918718 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/23/2009.


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 MedicineA43918CALIFORNIAYes

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
1C35476MEDICARE UPINCALIFORNIA
20A43918MEDICAIDCALIFORNIA
3A43918MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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