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PORTER RANCH INTEGRATIVE MEDICAL CLINIC A PROFESSIONAL CORPORATION NPI 1043642358


NPI Information

NPI: 1043642358
Provider Name: PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11177 TAMPA AVE
STE A
PORTER RANCH, CA
ZIP 91326
Phone: (818) 831-8000
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PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION is a family medicine in Porter Ranch, 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. PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION NPI is 1043642358. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11177 TAMPA AVE
STE A
PORTER RANCH, CA
ZIP 91326-254
Phone: (818) 831-8000
Fax: (818) 831-8005

The provider's authorized official is Bennett Annan .
The authorized official title is General Manager and has the following contact phone number (818) 831-8000.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.


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
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinicalNo
3111N00000XChiropractorNo
4133V00000XDietitian, RegisteredNo
5171100000XAcupuncturistNo
6207R00000XInternal MedicineNo
7208100000XPhysical Medicine & RehabilitationNo
8207Q00000XFamily MedicineYes

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

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.