EL DORADO COMMUNITY SERVICE CENTERS NPI 1568531036

NPI Information

NPI: 1568531036
Provider Name: EL DORADO COMMUNITY SERVICE CENTERS

Doing Business As: EL DORADO-PALMDALE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2720 E PALMDALE BLVD STE 129-131
PALMDALE, CA
ZIP 93550
Phone: (661) 947-3333
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EL DORADO COMMUNITY SERVICE CENTERS is a primary care clinic center in Palmdale, CA. EL DORADO COMMUNITY SERVICE CENTERS NPI is 1568531036. The provider is registered as an organization entity type.
The provider Is Doing Business As El Dorado-palmdale.

The provider's business location address is:

2720 E PALMDALE BLVD STE 129-131
PALMDALE, CA
ZIP 93550-930
Phone: (661) 947-3333
Fax: (661) 575-2397

The provider's authorized official is Manuel Tapia .
The authorized official title is Billing Specialist and has the following contact phone number (661) 254-6630.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 9/24/2018.

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	960001031	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
1	CMM70729F	MEDICAID	CALIFORNIA
2	6905	MEDICAID	CALIFORNIA
3	HDC70053F	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: 11/14/2023

NPI Synchronization or Removal

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