SOUTHGATE MEDICAL CLINIC P.S. NPI 1285751990

NPI Information

NPI: 1285751990
Provider Name: SOUTHGATE MEDICAL CLINIC, P.S.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6044 MARTIN LUTHER KING JR WAY S STE 104
SEATTLE, WA
ZIP 98118
Phone: (206) 723-9853
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SOUTHGATE MEDICAL CLINIC, P.S. is a primary care clinic center in Seattle, WA. SOUTHGATE MEDICAL CLINIC, P.S. NPI is 1285751990. The provider is registered as an organization entity type.

The provider's business location address is:

6044 MARTIN LUTHER KING JR WAY S STE 104
SEATTLE, WA
ZIP 98118-179
Phone: (206) 723-9853

The provider's authorized official is Robert Alfiler Velasco .
The authorized official title is Owner and has the following contact phone number (206) 723-9853.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.

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		WASHINGTON	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

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