THE VILLAGE FAMILY DOCTOR NPI 1235443342

NPI Information

NPI: 1235443342
Provider Name: THE VILLAGE FAMILY DOCTOR
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2013934

Address:
207 BRIDGE ST
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 481-1975
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THE VILLAGE FAMILY DOCTOR is a primary care clinic center in Arroyo Grande, CA. THE VILLAGE FAMILY DOCTOR NPI is 1235443342. The provider is registered as an organization entity type.

The provider's business location address is:

207 BRIDGE ST
ARROYO GRANDE, CA
ZIP 93420-311
Phone: (805) 481-1975
Fax: (866) 481-4145

The provider's authorized official is Karin Young .
The authorized official title is Owner and has the following contact phone number (805) 481-1975.

The CLIA number assigned to this NPI record is 05D2013934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2010 and was last updated on 7/30/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A77911	CALIFORNIA	Yes

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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