Provider Type Icon

WILLIAM C TA MDSPECTRUM MEDICAL & WELLNESS CENTER NPI 1437404142


NPI Information

NPI: 1437404142
Provider Name: WILLIAM C TA MDSPECTRUM MEDICAL & WELLNESS CENTER

Doing Business As: SPECTRUM MEDICAL & WELLNESS CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
15095 AMARGOSA RD
BLDG 2, STE 280
VICTORVILLE, CA
ZIP 92394
Phone: (760) 952-9100
Get Directions

WILLIAM C TA MDSPECTRUM MEDICAL & WELLNESS CENTER is a clinic center in Victorville, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WILLIAM C TA MDSPECTRUM MEDICAL & WELLNESS CENTER NPI is 1437404142. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Medical & Wellness Center.

The provider's business location address is:

15095 AMARGOSA RD
BLDG 2, STE 280
VICTORVILLE, CA
ZIP 92394-879
Phone: (760) 952-9100
Fax: (760) 952-9228

The provider's authorized official is Onyenkwere O Okwandu .
The authorized official title is Office Manager and has the following contact phone number (760) 246-9555.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 7/18/2012.


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
1261Q00000XClinic/CenterA118947CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.