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MENIFEE LASER CENTER INC. NPI 1659093599


NPI Information

NPI: 1659093599
Provider Name: MENIFEE LASER CENTER, INC.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
29798 HAUN RD.
SUITE 209
MENIFEE, CA
ZIP 92586
Phone: (951) 672-4200
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MENIFEE LASER CENTER, INC. is an adult medicine family medicine in Menifee, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MENIFEE LASER CENTER, INC. NPI is 1659093599. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29798 HAUN RD.
SUITE 209
MENIFEE, CA
ZIP 92586
Phone: (951) 672-4200
Fax: (951) 672-0835

The provider's authorized official is Vadim Gurvits .
The authorized official title is President and has the following contact phone number (951) 672-4200.

The enumeration date for this NPI number is 9/16/2022 and was last updated on 9/16/2022.


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
1207QA0401XFamily MedicineAddiction MedicineNo
2207QA0505XFamily MedicineAdult MedicineYes

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: 5/5/2024

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