ELDORADO COMMUNITY SERVICE CENTER NPI 1568722890

NPI Information

NPI: 1568722890
Provider Name: ELDORADO COMMUNITY SERVICE CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2272 PACIFIC AVE
SUITE A
LONG BEACH, CA
ZIP 90806
Phone: (661) 254-6630
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ELDORADO COMMUNITY SERVICE CENTER is a primary care clinic center in Long Beach, CA. ELDORADO COMMUNITY SERVICE CENTER NPI is 1568722890. The provider is registered as an organization entity type.

The provider's business location address is:

2272 PACIFIC AVE
SUITE A
LONG BEACH, CA
ZIP 90806-312
Phone: (661) 254-6630
Fax: (661) 254-6644

The provider's authorized official is Stan Sharma .
The authorized official title is Executive Director and has the following contact phone number (661) 254-6630.

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/21/2012.

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	550001744	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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