PEAK HEALTH MEDICAL GROUP INC NPI 1174576607

NPI Information

NPI: 1174576607
Provider Name: PEAK HEALTH MEDICAL GROUP INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2143 S SEPULVEDA BLVD
300
LOS ANGELES, CA
ZIP 90025
Phone: (310) 575-3100
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PEAK HEALTH MEDICAL GROUP INC is a primary care clinic center in Los Angeles, CA. PEAK HEALTH MEDICAL GROUP INC NPI is 1174576607. The provider is registered as an organization entity type.

The provider's business location address is:

2143 S SEPULVEDA BLVD
300
LOS ANGELES, CA
ZIP 90025-733
Phone: (310) 575-3100
Fax: (310) 575-3102

The provider's authorized official is Jacqueline Brizuela .
The authorized official title is Administrative Associate/biller and has the following contact phone number (310) 575-3100.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

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			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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