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AWESOME BLESSINGS MEDICAL CLINIC INC. NPI 1750564043


NPI Information

NPI: 1750564043
Provider Name: AWESOME BLESSINGS MEDICAL CLINIC, INC.

Doing Business As: AWESOME BLESSINGS MEDICAL PRACTICE

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
595 ESTUDILLO AVE
SAN LEANDRO, CA
ZIP 94577
Phone: (510) 483-5881
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AWESOME BLESSINGS MEDICAL CLINIC, INC. is a geriatric medicine internal medicine in San Leandro, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. AWESOME BLESSINGS MEDICAL CLINIC, INC. NPI is 1750564043. The provider is registered as an organization entity type.
The provider Is Doing Business As Awesome Blessings Medical Practice.

The provider's business location address is:

595 ESTUDILLO AVE
SAN LEANDRO, CA
ZIP 94577-611
Phone: (510) 483-5881
Fax: (510) 483-7114

The provider's authorized official is Than Aye Aw .
The authorized official title is Owner and has the following contact phone number (559) 905-9087.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 4/1/2009.


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
1261QP3300XClinic/CenterPainA53206CALIFORNIANo
2261QP2300XClinic/CenterPrimary CareA53206CALIFORNIANo
3207RG0300XInternal MedicineGeriatric MedicineA53206CALIFORNIAYes

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
1ZZZ24498ZMEDICARE PINCALIFORNIA
2ZZZ07012ZMEDICARE PINCALIFORNIA
3F90620MEDICARE UPINCALIFORNIA

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

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