ADVANCED FAMILY CARE MEDICAL GROUP INC NPI 1730372038

NPI Information

NPI: 1730372038
Provider Name: ADVANCED FAMILY CARE MEDICAL GROUP INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D0936609

Address:
2704 W MANCHESTER BLVD
INGLEWOOD, CA
ZIP 90305
Phone: (323) 778-4310
Get Directions

ADVANCED FAMILY CARE MEDICAL GROUP INC is a multi-specialty clinic center in Inglewood, CA. ADVANCED FAMILY CARE MEDICAL GROUP INC NPI is 1730372038. The provider is registered as an organization entity type.

The provider's business location address is:

2704 W MANCHESTER BLVD
INGLEWOOD, CA
ZIP 90305-436
Phone: (323) 778-4310

The provider's authorized official is Abdoulaye Diop .
The authorized official title is Medical Doctor and has the following contact phone number (323) 588-0084.

The CLIA number assigned to this NPI record is 05D0936609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 8/21/2007.

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	261QM1300X	Clinic/Center	Multi-Specialty	NMW1068	CALIFORNIA	No
2	261QP2300X	Clinic/Center	Primary Care	G42217	CALIFORNIA	No
3	261QP2300X	Clinic/Center	Primary Care	PA12322	CALIFORNIA	No
4	261QM1300X	Clinic/Center	Multi-Specialty	A33986	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	GR0077510	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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »