ST. ISABEL FAMILY MEDICAL CLINIC INC. NPI 1700057981

NPI Information

NPI: 1700057981
Provider Name: ST. ISABEL FAMILY MEDICAL CLINIC, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D1081284

Address:
1535 LOMITA BLVD
HARBOR CITY, CA
ZIP 90710
Phone: (310) 530-9300
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ST. ISABEL FAMILY MEDICAL CLINIC, INC. is a primary care clinic center in Harbor City, CA. ST. ISABEL FAMILY MEDICAL CLINIC, INC. NPI is 1700057981. The provider is registered as an organization entity type.

The provider's business location address is:

1535 LOMITA BLVD
HARBOR CITY, CA
ZIP 90710
Phone: (310) 530-9300
Fax: (310) 530-9303

The provider's authorized official is Edilita De Boda .
The authorized official title is President and has the following contact phone number (310) 530-9300.

The CLIA number assigned to this NPI record is 05D1081284 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.

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	261QP2300X	Clinic/Center	Primary Care	37220	CALIFORNIA	Yes

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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