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MEDICAL YOUTH FOUNTAIN INCORPORATED NPI 1366132243


NPI Information

NPI: 1366132243
Provider Name: MEDICAL YOUTH FOUNTAIN INCORPORATED
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
557 N CENTRAL AVE
UPLAND, CA
ZIP 91786
Phone: (909) 608-7178
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MEDICAL YOUTH FOUNTAIN INCORPORATED is a surgery in Upland, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MEDICAL YOUTH FOUNTAIN INCORPORATED NPI is 1366132243. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

557 N CENTRAL AVE
UPLAND, CA
ZIP 91786-241
Phone: (909) 608-7178
Fax: (909) 608-0939

The provider's authorized official is Farabi Mohamed Hussain .
The authorized official title is Ceo and has the following contact phone number (909) 608-7178.

The enumeration date for this NPI number is 5/12/2023 and was last updated on 5/12/2023.


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
1208600000XSurgeryYes

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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