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ADVANCED TOTAL HEALTH CLINIC LLC NPI 1518505056


NPI Information

NPI: 1518505056
Provider Name: ADVANCED TOTAL HEALTH CLINIC LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8305 LIBERTY RD
BALTIMORE, MD
ZIP 21244
Phone: (410) 922-4341
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ADVANCED TOTAL HEALTH CLINIC LLC is a general practice in Baltimore, MD. 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 ADVANCED TOTAL HEALTH CLINIC LLC NPI is 1518505056. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8305 LIBERTY RD
BALTIMORE, MD
ZIP 21244-125
Phone: (410) 922-4341

The provider's authorized official is Jinho Ahn .
The authorized official title is Employee and has the following contact phone number (213) 219-1915.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 12/16/2019.


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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