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INDEPENDENCE COMMUNNITY TREATMENT CLINIC NPI 1609049824


NPI Information

NPI: 1609049824
Provider Name: INDEPENDENCE COMMUNNITY TREATMENT CLINIC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
37423 70TH ST E
KNIGHT HIGH SCHOOL
PALMDALE, CA
ZIP 93552
Phone: (818) 776-1755
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INDEPENDENCE COMMUNNITY TREATMENT CLINIC is a community health clinic center in Palmdale, CA. INDEPENDENCE COMMUNNITY TREATMENT CLINIC NPI is 1609049824. The provider is registered as an organization entity type.

The provider's business location address is:

37423 70TH ST E
KNIGHT HIGH SCHOOL
PALMDALE, CA
ZIP 93552-800
Phone: (818) 776-1755
Fax: (818) 776-1657

The provider's authorized official is Alex Branzburg .
The authorized official title is Program Director and has the following contact phone number (818) 776-1755.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.


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
1261QC1500XClinic/CenterCommunity HealthCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CMM70956FMEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.