EAR NOSE AND THROAT MEDICAL CLINIC INC NPI 1043212376

NPI Information

NPI: 1043212376
Provider Name: EAR NOSE AND THROAT MEDICAL CLINIC INC
Classification: Otolaryngology - 207YX0602X
Entity Type: Organization

Specialization: Otolaryngic Allergy

Address:
1050 LAS TABLAS RD
TEMPLETON, CA
ZIP 93465
Phone: (805) 434-1836
Get Directions

EAR NOSE AND THROAT MEDICAL CLINIC INC is an otolaryngic allergy otolaryngology in Templeton, CA. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. EAR NOSE AND THROAT MEDICAL CLINIC INC NPI is 1043212376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 LAS TABLAS RD
TEMPLETON, CA
ZIP 93465-729
Phone: (805) 434-1836
Fax: (805) 434-1590

The provider's authorized official is Richard Allen Hendricks .
The authorized official title is President and has the following contact phone number (805) 434-1836.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 12/3/2008.

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	207YX0602X	Otolaryngology	Otolaryngic Allergy	G19580	CALIFORNIA	Yes

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
1	W3574	MEDICARE PIN	CALIFORNIA
2	A40693	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »