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SANA MEDICAL GROUP INC. NPI 1194900175


NPI Information

NPI: 1194900175
Provider Name: SANA MEDICAL GROUP, INC.

Other Name: SANA MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0975146

Address:
12099 W WASHINGTON BLVD
STE 400
LOS ANGELES, CA
ZIP 90066
Phone: (310) 398-3803
Get Directions

SANA MEDICAL GROUP, INC. is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SANA MEDICAL GROUP, INC. NPI is 1194900175. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sana Medical Group.

The provider's business location address is:

12099 W WASHINGTON BLVD
STE 400
LOS ANGELES, CA
ZIP 90066-882
Phone: (310) 398-3803

The provider's authorized official is Jose L Villagomez .
The authorized official title is President and has the following contact phone number (310) 398-3803.

The CLIA number assigned to this NPI record is 05D0975146 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 12/8/2010.


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
1208D00000XGeneral PracticeA61283CALIFORNIANo
2207Q00000XFamily MedicineG69567CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W14845MEDICARE PINCALIFORNIA
2GR0086970OTHERCALIFORNIAMEDI-CAL

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

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