SEPULVEDA PHYSICAL MEDICINE CENTER NPI 1164935045

NPI Information

NPI: 1164935045
Provider Name: SEPULVEDA PHYSICAL MEDICINE CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
8632 S SEPULVEDA BLVD STE 101
WESTCHESTER, CA
ZIP 90045
Phone: (310) 348-8298
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SEPULVEDA PHYSICAL MEDICINE CENTER is a multi-specialty clinic center in Westchester, CA. SEPULVEDA PHYSICAL MEDICINE CENTER NPI is 1164935045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8632 S SEPULVEDA BLVD STE 101
WESTCHESTER, CA
ZIP 90045-013
Phone: (310) 348-8298

The provider's authorized official is Darcey Ann Harraka .
The authorized official title is Owner and has the following contact phone number (310) 348-8298.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 3/17/2018.

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	Primary
1	208600000X	Surgery		No
2	261QM1300X	Clinic/Center	Multi-Specialty	Yes
3	261QP2300X	Clinic/Center	Primary Care	No
4	3336C0002X	Pharmacy	Clinic Pharmacy	No

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

NPI Synchronization or Removal

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