SPECIALTY MEDICAL GROUP CA PC NPI 1518716240

NPI Information

NPI: 1518716240
Provider Name: SPECIALTY MEDICAL GROUP CA PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA
ZIP 90266
Phone: (310) 878-6978
Get Directions

SPECIALTY MEDICAL GROUP CA PC is a general practice in Manhattan Beach, 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 SPECIALTY MEDICAL GROUP CA PC NPI is 1518716240. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH, CA
ZIP 90266-494
Phone: (310) 878-6978

The provider's authorized official is Joel Jones .
The authorized official title is Owner and has the following contact phone number (479) 685-8837.

The enumeration date for this NPI number is 5/15/2024 and was last updated on 5/15/2024.

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				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: 5/5/2024

NPI Synchronization or Removal

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