Provider Type Icon

HEALTHCARE ANGELS MEDICAL CLINIC INC. NPI 1720269194


NPI Information

NPI: 1720269194
Provider Name: HEALTHCARE ANGELS MEDICAL CLINIC, INC.

Doing Business As: HEALTHCARE ANGELS MEDICAL CLINIC, INC.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9146 SEPULVEDA BLVD STE B
NORTH HILLS, CA
ZIP 91343
Phone: (818) 920-1133
Get Directions

HEALTHCARE ANGELS MEDICAL CLINIC, INC. is a general practice in North Hills, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HEALTHCARE ANGELS MEDICAL CLINIC, INC. NPI is 1720269194. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthcare Angels Medical Clinic, Inc..

The provider's business location address is:

9146 SEPULVEDA BLVD STE B
NORTH HILLS, CA
ZIP 91343-948
Phone: (818) 920-1133
Fax: (818) 893-6030

The provider's authorized official is Ashkan Eliahou Sefaradi .
The authorized official title is Owner/authorized Official and has the following contact phone number (310) 592-2522.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 12/5/2023.


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
1208D00000XGeneral PracticeA64183CALIFORNIAYes

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
100A641830MEDICAIDCALIFORNIA
2W17112OTHERCALIFORNIAMEDICARE GROUP ID

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.