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DR MIKEL WALK IN CLINIC NPI 1629371976


NPI Information

NPI: 1629371976
Provider Name: DR MIKEL WALK IN CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D1068500

Address:
11336 BARTLETT AVE
STE 12
ADELANTO, CA
ZIP 92301
Phone: (760) 530-1635
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DR MIKEL WALK IN CLINIC is a general practice in Adelanto, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR MIKEL WALK IN CLINIC NPI is 1629371976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11336 BARTLETT AVE
STE 12
ADELANTO, CA
ZIP 92301-948
Phone: (760) 530-1635
Fax: (760) 949-1236

The provider's authorized official is Mikel Alwis .
The authorized official title is President and has the following contact phone number (760) 221-9298.

The CLIA number assigned to this NPI record is 05D1068500 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 12/8/2010.


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
1208D00000XGeneral PracticeA48518CALIFORNIAYes

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

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.