LIFE POINT MEDICAL AND URGENT CARE INC NPI 1770962201

NPI Information

NPI: 1770962201
Provider Name: LIFE POINT MEDICAL AND URGENT CARE INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2273501

Address:
9057 CENTRAL AVE
MONTCLAIR, CA
ZIP 91763
Phone: (909) 398-4958
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LIFE POINT MEDICAL AND URGENT CARE INC is a multi-specialty clinic center in Montclair, CA. LIFE POINT MEDICAL AND URGENT CARE INC NPI is 1770962201. The provider is registered as an organization entity type.

The provider's business location address is:

9057 CENTRAL AVE
MONTCLAIR, CA
ZIP 91763-622
Phone: (909) 398-4958
Fax: (909) 398-4979

The provider's authorized official is Noreen Wayne Bass .
The authorized official title is Administrator and has the following contact phone number (909) 398-4958.

The CLIA number assigned to this NPI record is 05D2273501 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 10/5/2019.

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			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: 5/5/2024

NPI Synchronization or Removal

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