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SESPE MEDICAL INC. NPI 1336385244


NPI Information

NPI: 1336385244
Provider Name: SESPE MEDICAL, INC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
552 SESPE AVE
FILLMORE, CA
ZIP 93015
Phone: (805) 524-2559
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SESPE MEDICAL, INC. is a rural health clinic center in Fillmore, CA. SESPE MEDICAL, INC. NPI is 1336385244. The provider is registered as an organization entity type.

The provider's business location address is:

552 SESPE AVE
FILLMORE, CA
ZIP 93015
Phone: (805) 524-2559
Fax: (805) 524-2596

The provider's authorized official is Jose Luis Bautista .
The authorized official title is Medical Director and has the following contact phone number (559) 271-7292.

The enumeration date for this NPI number is 12/23/2008 and was last updated on 11/10/2010.


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
1261QR1300XClinic/CenterRural HealthYes

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
1058944MEDICARE PIN

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: 5/5/2024

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