JOSE CLEMENTE NAVARRETE M D INC NPI 1720239858

NPI Information

NPI: 1720239858
Provider Name: JOSE CLEMENTE NAVARRETE M D INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6043 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270
Phone: (323) 771-9680
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JOSE CLEMENTE NAVARRETE M D INC is a general practice in Maywood, CA. JOSE CLEMENTE NAVARRETE M D INC NPI is 1720239858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6043 ATLANTIC BLVD
MAYWOOD, CA
ZIP 90270-118
Phone: (323) 771-9680
Fax: (323) 771-2989

The provider's authorized official is Jose Clemente Navarrete .
The authorized official title is Owner and has the following contact phone number (323) 771-9680.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 7/16/2013.

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	208D00000X	General Practice		A36377	CALIFORNIA	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	CB021A	MEDICARE PIN	CALIFORNIA
2	00A363770	MEDICAID	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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