NATIONWIDE MEDICAL GROUP INC NPI 1710034103

NPI Information

NPI: 1710034103
Provider Name: NATIONWIDE MEDICAL GROUP, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1050 N GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 623-6391
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NATIONWIDE MEDICAL GROUP, INC is a community health clinic center in Pomona, CA. NATIONWIDE MEDICAL GROUP, INC NPI is 1710034103. The provider is registered as an organization entity type.

The provider's business location address is:

1050 N GAREY AVE
POMONA, CA
ZIP 91767-802
Phone: (909) 623-6391
Fax: (909) 620-9491

The provider's authorized official is George Girgis .
The authorized official title is Director and has the following contact phone number (661) 861-9967.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 4/15/2008.

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	261QC1500X	Clinic/Center	Community Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR008716G	MEDICAID	CALIFORNIA
2	W15946C	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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

NPI Synchronization or Removal

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