MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC. NPI 1033309372

NPI Information

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

The provider's business location address is:

19353 VICTORY BLVD
TARZANA, CA
ZIP 91335-302
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 with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 2/4/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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