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MADISON PARK FAMILY MEDICAL NPI 1760466700


NPI Information

NPI: 1760466700
Provider Name: MADISON PARK FAMILY MEDICAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1970 SO PROSPECT AVE
SUITE 3
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 944-9344
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MADISON PARK FAMILY MEDICAL is a family medicine in Redondo Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MADISON PARK FAMILY MEDICAL NPI is 1760466700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1970 SO PROSPECT AVE
SUITE 3
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 944-9344
Fax: (310) 944-9390

The provider's authorized official is Neda Bayat .
The authorized official title is Do and has the following contact phone number (310) 944-9344.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 11/13/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A7340CALIFORNIAYes

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
1W13994OTHERGROUP MCARE
2H30084MEDICARE UPIN
3W20A7340AMEDICARE ID-TYPE UNSPECIFIED

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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