DR. FLAXIE ROBERSON FLETCHER M.D. NPI 1215956503

NPI Information

NPI: 1215956503
Provider Name: DR. FLAXIE ROBERSON FLETCHER, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3737 MARTIN LUTHER KING JR BLVD
SUITE #604
LYNWOOD, CA
ZIP 90262
Phone: (310) 637-1971
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DR. Flaxie Roberson Fletcher, M.D. is a specialist in Lynwood, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Flaxie Roberson Fletcher, M.D. NPI is 1215956503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3737 MARTIN LUTHER KING JR BLVD
SUITE #604
LYNWOOD, CA
ZIP 90262-513
Phone: (310) 637-1971
Fax: (310) 637-1049

The NPI 1215956503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 11/17/2009.

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	174400000X	Specialist		C037011	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	040003119	OTHER	CALIFORNIA	RAILRAOD MEDICARE
2	000C370111	MEDICAID	CALIFORNIA
3	C37011	MEDICARE PIN	CALIFORNIA
4	A36448	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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