SILICON BEACH MEDICAL CENTER INC NPI 1366964330

NPI Information

NPI: 1366964330
Provider Name: SILICON BEACH MEDICAL CENTER INC

Doing Business As: SILICON BEACH MEDICAL CENTER INC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
5450 LINCOLN BLVD
LOS ANGELES, CA
ZIP 90094
Phone: (310) 305-9200
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SILICON BEACH MEDICAL CENTER INC is an urgent care clinic center in Los Angeles, CA. SILICON BEACH MEDICAL CENTER INC NPI is 1366964330. The provider is registered as an organization entity type.
The provider Is Doing Business As Silicon Beach Medical Center Inc.

The provider's business location address is:

5450 LINCOLN BLVD
LOS ANGELES, CA
ZIP 90094-002
Phone: (310) 305-9200
Fax: (310) 305-2800

The provider's authorized official is Young Sun Yi .
The authorized official title is Owner/ceo and has the following contact phone number (310) 305-9200.

The CLIA number assigned to this NPI record is 05D2146908 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2017 and was last updated on 12/1/2020.

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	261QU0200X	Clinic/Center	Urgent Care			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: 4/28/2024

NPI Synchronization or Removal

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