TOTAL CARE MEDICAL CLINIC INC NPI 1801154463

NPI Information

NPI: 1801154463
Provider Name: TOTAL CARE MEDICAL CLINIC INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D2048526

Address:
1110 W ANAHEIM ST
SUITE 6
WILMINGTON, CA
ZIP 90744
Phone: (310) 872-3560
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TOTAL CARE MEDICAL CLINIC INC is a community health clinic center in Wilmington, CA. TOTAL CARE MEDICAL CLINIC INC NPI is 1801154463. The provider is registered as an organization entity type.

The provider's business location address is:

1110 W ANAHEIM ST
SUITE 6
WILMINGTON, CA
ZIP 90744-131
Phone: (310) 872-3560
Fax: (310) 221-8645

The provider's authorized official is Nkwain W Ngamfon .
The authorized official title is Administrator and has the following contact phone number (424) 215-1580.

The CLIA number assigned to this NPI record is 05D2048526 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 5/13/2014.

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			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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