MEDICINA FAMILIAR NPI 1609961648

NPI Information

NPI: 1609961648
Provider Name: MEDICINA FAMILIAR
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
13500 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331
Phone: (818) 896-2999
Get Directions

MEDICINA FAMILIAR is a general practice in Pacoima, CA. MEDICINA FAMILIAR NPI is 1609961648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13500 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331
Phone: (818) 896-2999
Fax: (818) 896-8449

The provider's authorized official is Jose Manuel Gonzalez-diaz .
The authorized official title is Owner and has the following contact phone number (818) 896-2999.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/22/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A41311	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	A41311	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	D34091	MEDICARE UPIN
3	GR0086101	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

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.

« Previous NPI

Next NPI »