LA VERNE FAMILY MEDICAL CENTER INC NPI 1457469884

NPI Information

LA VERNE FAMILY MEDICAL CENTER INC is a family medicine in La Verne, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LA VERNE FAMILY MEDICAL CENTER INC NPI is 1457469884. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 FOOTHILL BLVD
SUITE A
LA VERNE, CA
ZIP 91750-905
Phone: (909) 596-1941
Fax: (909) 596-1943

The provider's authorized official is Tan Lin Wong .
The authorized official title is President and has the following contact phone number (909) 596-1941.

The CLIA number assigned to this NPI record is 05D1029294 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 12/9/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.