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EXECUTIVE MEDICINE INC. NPI 1407291347


NPI Information

NPI: 1407291347
Provider Name: EXECUTIVE MEDICINE, INC.

Doing Business As: MONROVIA INTERNAL MEDICINE AND PRIMARY CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D2091525

Address:
1227 BUENA VISTA ST
SUITE #F
DUARTE, CA
ZIP 91010
Phone: (877) 254-4496
Get Directions

EXECUTIVE MEDICINE, INC. is an internal medicine in Duarte, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EXECUTIVE MEDICINE, INC. NPI is 1407291347. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monrovia Internal Medicine And Primary Care.

The provider's business location address is:

1227 BUENA VISTA ST
SUITE #F
DUARTE, CA
ZIP 91010-486
Phone: (877) 254-4496
Fax: (877) 254-4496

The provider's authorized official is Ulin Sargeant .
The authorized official title is Ceo/medical Director and has the following contact phone number (877) 254-4496.

The CLIA number assigned to this NPI record is 05D2091525 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2013 and was last updated on 4/29/2015.


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
1207R00000XInternal MedicineA97256CALIFORNIAYes

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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