ELDORADO COMMUNITY SERVICE CENTER NPI 1174803852

NPI Information

NPI: 1174803852
Provider Name: ELDORADO COMMUNITY SERVICE CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8207 WHITTIER BLVD
PICO RIVERA, CA
ZIP 90660
Phone: (562) 692-2522
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ELDORADO COMMUNITY SERVICE CENTER is a primary care clinic center in Pico Rivera, CA. ELDORADO COMMUNITY SERVICE CENTER NPI is 1174803852. The provider is registered as an organization entity type.

The provider's business location address is:

8207 WHITTIER BLVD
PICO RIVERA, CA
ZIP 90660-521
Phone: (562) 692-2522
Fax: (562) 695-0413

The provider's authorized official is Pramesh P Sharma .
The authorized official title is Cfo and has the following contact phone number (661) 254-6630.

The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.

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

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	1700882156	MEDICAID	CALIFORNIA

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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