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CENTER FOR FUNCTIONAL & INTEGRATIVE MEDICINE INC NPI 1518138254


NPI Information

NPI: 1518138254
Provider Name: CENTER FOR FUNCTIONAL & INTEGRATIVE MEDICINE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3104 PONTE MORINO DR
SUITE 110
CAMERON PARK, CA
ZIP 95682
Phone: (530) 626-8300
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CENTER FOR FUNCTIONAL & INTEGRATIVE MEDICINE, INC is a family medicine in Cameron Park, 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. CENTER FOR FUNCTIONAL & INTEGRATIVE MEDICINE, INC NPI is 1518138254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3104 PONTE MORINO DR
SUITE 110
CAMERON PARK, CA
ZIP 95682-277
Phone: (530) 626-8300
Fax: (530) 626-7617

The provider's authorized official is Mark Eric Holthouse .
The authorized official title is Ceo and has the following contact phone number (530) 306-2997.

The enumeration date for this NPI number is 3/21/2008 and was last updated on 11/25/2008.


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
1207Q00000XFamily MedicineYes

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
100G757170MEDICARE PINCALIFORNIA

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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