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SUNDARAM FAMILY MEDICAL CLINIC INC. NPI 1053691766


NPI Information

NPI: 1053691766
Provider Name: SUNDARAM FAMILY MEDICAL CLINIC INC.

Doing Business As: SUNDARAM LA FAMILIA MEDICAL CLINIC

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
3001 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 589-0927
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SUNDARAM FAMILY MEDICAL CLINIC INC. is an allergy immunology in Huntington Park, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. SUNDARAM FAMILY MEDICAL CLINIC INC. NPI is 1053691766. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sundaram La Familia Medical Clinic.

The provider's business location address is:

3001 E FLORENCE AVE
HUNTINGTON PARK, CA
ZIP 90255-827
Phone: (323) 589-0927

The provider's authorized official is Jawahar Sundaram .
The authorized official title is Physician and has the following contact phone number (323) 589-0927.

The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.


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
1208D00000XGeneral PracticeA67659CALIFORNIANo
2208D00000XGeneral PracticePA190272CALIFORNIANo
3208D00000XGeneral PracticePA19593CALIFORNIANo
4207Q00000XFamily MedicinePA19004CALIFORNIANo
5207Q00000XFamily MedicineA67659CALIFORNIANo
62084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry20A7566CALIFORNIANo
7208D00000XGeneral PracticePA19004CALIFORNIANo
8208D00000XGeneral Practice20A7566CALIFORNIANo
9207K00000XAllergy & ImmunologyA67659CALIFORNIAYes

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: 5/5/2024

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