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ELITE MEDICAL GROUP NPI 1497182596


NPI Information

NPI: 1497182596
Provider Name: ELITE MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
20265 VALLEY BLVD STE E
WALNUT, CA
ZIP 91789
Phone: (909) 869-8501
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ELITE MEDICAL GROUP is a general practice in Walnut, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ELITE MEDICAL GROUP NPI is 1497182596. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20265 VALLEY BLVD STE E
WALNUT, CA
ZIP 91789-655
Phone: (909) 869-8501
Fax: (909) 869-8401

The provider's authorized official is Kenny Lin .
The authorized official title is President and has the following contact phone number (909) 869-8501.

The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/3/2013.


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
1208D00000XGeneral PracticeYes

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

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