SECURE HEALTH MEDICAL GROUP INC NPI 1275690828

NPI Information

  • NPI: 1275690828
  • Provider Name: SECURE HEALTH MEDICAL GROUP INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D0982888
  • Address: 1275 N ROSE DR
    STE 126
    PLACENTIA, CA
    ZIP 92870
  • Phone: (714) 524-3880

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NPI Details

SECURE HEALTH MEDICAL GROUP INC is a clinic center in Placentia, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SECURE HEALTH MEDICAL GROUP INC NPI is 1275690828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1275 N ROSE DR
STE 126
PLACENTIA, CA
ZIP 92870-919
Phone: (714) 524-3880
Fax: (714) 524-3884

The provider's authorized official is Donald Furman .
The authorized official title is Owner and has the following contact phone number (562) 746-8698.

The CLIA number assigned to this NPI record is 05D0982888 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/1/2022.

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
1207R00000XInternal MedicineNo
2261Q00000XClinic/CenterA53412CALIFORNIAYes

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
1GR0089650MEDICAIDCALIFORNIA

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: 3/30/2025

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