SAN ANTONIO FAMILY MEDICAL CLINIC INC. NPI 1073830485

NPI Information

NPI: 1073830485
Provider Name: SAN ANTONIO FAMILY MEDICAL CLINIC, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2007318

Address:
36 N EUCLID AVE STE C
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 255-2950
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SAN ANTONIO FAMILY MEDICAL CLINIC, INC. is a primary care clinic center in National City, CA. SAN ANTONIO FAMILY MEDICAL CLINIC, INC. NPI is 1073830485. The provider is registered as an organization entity type.

The provider's business location address is:

36 N EUCLID AVE STE C
NATIONAL CITY, CA
ZIP 91950-955
Phone: (619) 255-2950
Fax: (619) 756-6981

The provider's authorized official is Edward S Jocson .
The authorized official title is President and has the following contact phone number (619) 754-5809.

The CLIA number assigned to this NPI record is 05D2007318 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2010 and was last updated on 4/24/2010.

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	261QP2300X	Clinic/Center	Primary Care	G54939	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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