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CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS NPI 1679875942


NPI Information

NPI: 1679875942
Provider Name: CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS

Other Name: CENTER FOR INHERITED BLOOD DISORDERS (CIBD)

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1010 W LA VETA AVE
SUITE 670
ORANGE, CA
ZIP 92868
Phone: (714) 221-1200
Get Directions

CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS is a clinic center in Orange, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS NPI is 1679875942. The provider is registered as an organization entity type.
The provider Other Name Is Center For Inherited Blood Disorders (cibd).

The provider's business location address is:

1010 W LA VETA AVE
SUITE 670
ORANGE, CA
ZIP 92868-300
Phone: (714) 221-1200
Fax: (714) 221-1299

The provider's authorized official is Diane J Nugent .
The authorized official title is Medical Director and has the following contact phone number (714) 221-1200.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 1/26/2015.


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
1261QM2500XClinic/CenterMedical Specialty550001889CALIFORNIANo
2261Q00000XClinic/Center550001889CALIFORNIAYes

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
11679875942MEDICAIDCALIFORNIA
2GE224AMEDICARE PIN

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

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