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PROGRESS MEDICAL CLINIC INC NPI 1467545855


NPI Information

NPI: 1467545855
Provider Name: PROGRESS MEDICAL CLINIC INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
7601 CANBY AVE
SUITE #7
RESEDA, CA
ZIP 91335
Phone: (818) 757-1919
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PROGRESS MEDICAL CLINIC INC is an internal medicine in Reseda, 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. PROGRESS MEDICAL CLINIC INC NPI is 1467545855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7601 CANBY AVE
SUITE #7
RESEDA, CA
ZIP 91335-974
Phone: (818) 757-1919
Fax: (818) 757-3134

The provider's authorized official is Svetlana Baranovsky .
The authorized official title is Owner and has the following contact phone number (818) 757-1919.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA53350CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0078170MEDICAIDCALIFORNIA

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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