MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC NPI 1033309372

NPI Information

  • NPI: 1033309372
  • Provider Name: MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 05D1074128
  • Address: 511 N HOLLYWOOD WAY
    BURBANK, CA
    ZIP 91505
  • Phone: (866) 389-2727

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NPI Details

MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC is a family nurse practitioner in Burbank, CA. MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC NPI is 1033309372. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

511 N HOLLYWOOD WAY
BURBANK, CA
ZIP 91505-406
Phone: (866) 389-2727
Fax: (401) 406-3539

The provider's authorized official is Deborah Pincince .
The authorized official title is Administrator and has the following contact phone number (401) 770-3813.

The CLIA number assigned to this NPI record is 05D1074128 - other - limited service health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 10/11/2024.

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
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4363LF0000XNurse PractitionerFamilyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DO3845OTHERCALIFORNIAMEDICARE RAILROAD

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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