Provider Type Icon

FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC INC. NPI 1275784324


NPI Information

NPI: 1275784324
Provider Name: FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0941949

Address:
16661 VENTURA BLVD.
SUITE 108
ENCINO, CA
ZIP 91436
Phone: (818) 808-2828
Get Directions

FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INC. is a clinic center in Encino, 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). FAMILY URGENT CARE & INDUSTRIAL MEDICAL CLINIC, INC. NPI is 1275784324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16661 VENTURA BLVD.
SUITE 108
ENCINO, CA
ZIP 91436-902
Phone: (818) 808-2828
Fax: (818) 788-0386

The provider's authorized official is Bruce E Fishman .
The authorized official title is President/medical Director and has the following contact phone number (818) 808-2828.

The CLIA number assigned to this NPI record is 05D0941949 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 8/27/2015.


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 MedicineNo
2261Q00000XClinic/CenterFNP24261CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.