CLINICA MEDICA CENTRO LASER HISPANO INC. NPI 1174658322

NPI Information

NPI: 1174658322
Provider Name: CLINICA MEDICA CENTRO LASER HISPANO INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1341 E 4TH ST
UNIT B
ONTARIO, CA
ZIP 91764
Phone: (909) 467-1445
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CLINICA MEDICA CENTRO LASER HISPANO INC. is a general practice in Ontario, CA. CLINICA MEDICA CENTRO LASER HISPANO INC. NPI is 1174658322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1341 E 4TH ST
UNIT B
ONTARIO, CA
ZIP 91764-034
Phone: (909) 467-1445
Fax: (909) 467-1446

The provider's authorized official is Marc Rifkin .
The authorized official title is Director and has the following contact phone number (909) 467-1445.

The enumeration date for this NPI number is 2/21/2007 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	208D00000X	General Practice		A32553	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A325530	OTHER	CALIFORNIA	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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