SANO MEDICAL CLINIC NPI 1528465762

NPI Information

NPI: 1528465762
Provider Name: SANO MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
700 W 19TH ST
COSTA MESA, CA
ZIP 92627
Phone: (949) 355-1715
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SANO MEDICAL CLINIC is a primary care clinic center in Costa Mesa, CA. SANO MEDICAL CLINIC NPI is 1528465762. The provider is registered as an organization entity type.

The provider's business location address is:

700 W 19TH ST
COSTA MESA, CA
ZIP 92627-517
Phone: (949) 355-1715

The provider's authorized official is Dolores Stirbl .
The authorized official title is Administrator and has the following contact phone number (949) 355-1715.

The enumeration date for this NPI number is 12/3/2014 and was last updated on 9/1/2020.

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	261QP2300X	Clinic/Center	Primary Care	A30481	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A304810	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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