ELIZABETH SUGAPONG ESTRADA-FEDERIZO M.D NPI 1750414009

NPI Information

NPI: 1750414009
Provider Name: ELIZABETH SUGAPONG ESTRADA-FEDERIZO, M.D,
Classification: Clinic/Center - 261QC1500X
Entity Type: Individual

Specialization: Community Health

PECOS Registration: Yes

Address:
38350 40TH ST E
SUITE 100
PALMDALE, CA
ZIP 93552
Phone: (661) 272-5001
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Elizabeth Sugapong Estrada-federizo, M.D, is a community health clinic center in Palmdale, CA. Elizabeth Sugapong Estrada-federizo, M.D, NPI is 1750414009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38350 40TH ST E
SUITE 100
PALMDALE, CA
ZIP 93552-075
Phone: (661) 272-5001

The NPI 1750414009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/8/2007.

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	261QC1500X	Clinic/Center	Community Health	A051630	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: 11/14/2023

NPI Synchronization or Removal

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