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SAN PEDRO HEALING ARTS MEDICAL CLINIC INC NPI 1487735221


NPI Information

NPI: 1487735221
Provider Name: SAN PEDRO HEALING ARTS MEDICAL CLINIC INC

Doing Business As: SAN PEDRO HEALING ARTS MEDICAL CLINIC INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1366 W 7TH ST
SUITE 4B
SAN PEDRO, CA
ZIP 90732
Phone: (310) 547-2197
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SAN PEDRO HEALING ARTS MEDICAL CLINIC INC is a family medicine in San Pedro, 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. SAN PEDRO HEALING ARTS MEDICAL CLINIC INC NPI is 1487735221. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Pedro Healing Arts Medical Clinic Inc.

The provider's business location address is:

1366 W 7TH ST
SUITE 4B
SAN PEDRO, CA
ZIP 90732-500
Phone: (310) 547-2197
Fax: (310) 547-9532

The provider's authorized official is Maria E Baez .
The authorized official title is Ceo and has the following contact phone number (310) 547-2197.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/11/2016.


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
1106H00000XMarriage & Family TherapistMFC45939CALIFORNIANo
2106H00000XMarriage & Family TherapistLMFT81399CALIFORNIANo
3106H00000XMarriage & Family TherapistLMFT86500CALIFORNIANo
4111N00000XChiropractorDC27614CALIFORNIANo
5111N00000XChiropractorDC 21667CALIFORNIANo
6111NX0800XChiropractorOrthopedicDC33346CALIFORNIANo
7171100000XAcupuncturistAC10137CALIFORNIANo
8171100000XAcupuncturistAC9270CALIFORNIANo
9174400000XSpecialistPT2838CALIFORNIANo
10363A00000XPhysician AssistantPA 18999CALIFORNIANo
11363A00000XPhysician AssistantPA 21347CALIFORNIANo
12207Q00000XFamily MedicineG67514CALIFORNIAYes

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
1DC27614OTHERCALIFORNIACHIROPRACTOR
2MFC45939OTHERCALIFORNIAMARRIAGE & FAMILY COUNSELING
3PT 17929OTHERCALIFORNIAPHYSICAL THERAPY
4LMFT86500OTHERCALIFORNIAMARRIAGE & FAMILY COUNSELING
5AC10137OTHERCALIFORNIAACUPUNCTURE
6DC33346OTHERCALIFORNIACHIROPRACTIC
7PA 18999OTHERCALIFORNIAPHYSICAN ASSISTANT
8DC 21667OTHERCALIFORNIACHIROPRACTOR
9LMFT81399OTHERCALIFORNIAMARRIAGE & FAMILY COUNSELING
10PT2838OTHERCALIFORNIAPHYSICAL THERAPY
11AC9270OTHERCALIFORNIAACUPUNCTURE
12G67514OTHERCALIFORNIAMEDICAL DOCTOR
13PA 21347OTHERCALIFORNIAPHYSICIAN ASSISTANT

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.