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CLINICA DEL PUEBLO MEDICAL GROUP CORP NPI 1104127109


NPI Information

NPI: 1104127109
Provider Name: CLINICA DEL PUEBLO MEDICAL GROUP CORP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10200 MAIN ST STE B
LAMONT, CA
ZIP 93241
Phone: (661) 845-1788
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CLINICA DEL PUEBLO MEDICAL GROUP CORP is a family medicine in Lamont, 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. CLINICA DEL PUEBLO MEDICAL GROUP CORP NPI is 1104127109. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10200 MAIN ST STE B
LAMONT, CA
ZIP 93241-700
Phone: (661) 845-1788
Fax: (661) 845-1791

The provider's authorized official is Sam N Ratnayake .
The authorized official title is Director and has the following contact phone number (661) 377-3777.

The enumeration date for this NPI number is 11/6/2010 and was last updated on 11/6/2010.


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
1207Q00000XFamily MedicineA056363CALIFORNIAYes

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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