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EAST LA PAZ FAMILY MEDICAL CLINIC PC NPI 1215359450


NPI Information

NPI: 1215359450
Provider Name: EAST LA PAZ FAMILY MEDICAL CLINIC, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3712 WHITTIER BLVD # 1
LOS ANGELES, CA
ZIP 90023
Phone: (323) 268-8347
Get Directions

EAST LA PAZ FAMILY MEDICAL CLINIC, PC 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. EAST LA PAZ FAMILY MEDICAL CLINIC, PC NPI is 1215359450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3712 WHITTIER BLVD # 1
LOS ANGELES, CA
ZIP 90023-733
Phone: (323) 268-8347
Fax: (323) 268-8368

The provider's authorized official is William Chu .
The authorized official title is Ceo and has the following contact phone number (323) 268-8347.

The enumeration date for this NPI number is 1/7/2014 and was last updated on 7/20/2016.


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
1207Q00000XFamily MedicinePA15296CALIFORNIANo
2213E00000XPodiatristE4677CALIFORNIANo
3207Q00000XFamily MedicineG56407CALIFORNIAYes

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
11700811791MEDICARE UPINCALIFORNIA
21043227804MEDICARE UPINCALIFORNIA
31699701581MEDICARE UPINCALIFORNIA
41598710600MEDICARE UPINCALIFORNIA

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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