Provider Type Icon

DOROTHY MAE MEDICAL CLINIC INC. NPI 1669533907


NPI Information

NPI: 1669533907
Provider Name: DOROTHY MAE MEDICAL CLINIC INC.

Doing Business As: DOROTHY MAE MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8880 S BROADWAY
LOS ANGELES, CA
ZIP 90003
Phone: (323) 750-1196
Get Directions

DOROTHY MAE MEDICAL CLINIC INC. is a primary care clinic center in Los Angeles, CA. DOROTHY MAE MEDICAL CLINIC INC. NPI is 1669533907. The provider is registered as an organization entity type.
The provider Is Doing Business As Dorothy Mae Medical Clinic.

The provider's business location address is:

8880 S BROADWAY
LOS ANGELES, CA
ZIP 90003-635
Phone: (323) 750-1196
Fax: (323) 750-0330

The provider's authorized official is Michael Jerome Singleton .
The authorized official title is Ceo and has the following contact phone number (310) 600-6046.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 3/31/2016.


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
1261QP2300XClinic/CenterPrimary CareA064610CALIFORNIAYes

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
1W14542OTHERCALIFORNIAGROUP PTAN

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.