CANOGA PARK URGENT CARE FAMILY MEDICINE NPI 1487913810

NPI Information

NPI: 1487913810
Provider Name: CANOGA PARK URGENT CARE FAMILY MEDICINE
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2046010

Address:
20905 SHERMAN WAY
CANOGA PARK, CA
ZIP 91303
Phone: (818) 744-4369
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CANOGA PARK URGENT CARE FAMILY MEDICINE is a general practice in Canoga Park, CA. CANOGA PARK URGENT CARE FAMILY MEDICINE NPI is 1487913810. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20905 SHERMAN WAY
CANOGA PARK, CA
ZIP 91303-743
Phone: (818) 744-4369
Fax: (310) 444-0606

The provider's authorized official is Syrus Feridouni .
The authorized official title is President and has the following contact phone number (818) 744-4369.

The CLIA number assigned to this NPI record is 05D2046010 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2012 and was last updated on 5/4/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A92103	CALIFORNIA	No
2	208D00000X	General Practice		A97912	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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