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DEL REFUGIO HEALTHCARE INC NPI 1154971018


NPI Information

NPI: 1154971018
Provider Name: DEL REFUGIO HEALTHCARE INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2180661

Address:
4800 S CENTRAL AVE STE B
LOS ANGELES, CA
ZIP 90011
Phone: (626) 397-6516
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DEL REFUGIO HEALTHCARE INC is a general practice in Los Angeles, CA. DEL REFUGIO HEALTHCARE INC NPI is 1154971018. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4800 S CENTRAL AVE STE B
LOS ANGELES, CA
ZIP 90011-459
Phone: (626) 397-6516

The provider's authorized official is Carol J Thrun .
The authorized official title is Md and has the following contact phone number (626) 379-6516.

The CLIA number assigned to this NPI record is 05D2180661 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2019 and was last updated on 9/12/2019.


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
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4208D00000XGeneral PracticeYes

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: 11/14/2023

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.