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LAS PALMAS MEDICAL GROUP NPI 1063718930


NPI Information

NPI: 1063718930
Provider Name: LAS PALMAS MEDICAL GROUP

Doing Business As: VALLEY IMMEDIATE CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1540 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92027
Phone: (760) 621-4902
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LAS PALMAS MEDICAL GROUP is a general practice in Escondido, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LAS PALMAS MEDICAL GROUP NPI is 1063718930. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valley Immediate Care.

The provider's business location address is:

1540 E VALLEY PKWY
ESCONDIDO, CA
ZIP 92027-316
Phone: (760) 621-4902
Fax: (760) 400-0012

The provider's authorized official is Carlos Mena .
The authorized official title is Office Manager and has the following contact phone number (760) 480-4747.

The enumeration date for this NPI number is 2/9/2011 and was last updated on 2/14/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeG57022CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11770663551MEDICAIDCALIFORNIA
2W17224MEDICARE PINCALIFORNIA
3E56204MEDICARE UPINCALIFORNIA
41164503652MEDICAIDCALIFORNIA

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

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