MOBILE PICC NURSE NPI 1801307822

NPI Information

NPI: 1801307822
Provider Name: MOBILE PICC NURSE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
10981 SAN DIEGO MISSION RD STE 112
SAN DIEGO, CA
ZIP 92108
Phone: (619) 693-7399
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MOBILE PICC NURSE is an ambulatory surgical clinic center in San Diego, CA. MOBILE PICC NURSE NPI is 1801307822. The provider is registered as an organization entity type.

The provider's business location address is:

10981 SAN DIEGO MISSION RD STE 112
SAN DIEGO, CA
ZIP 92108-448
Phone: (619) 693-7399
Fax: (877) 887-9814

The provider's authorized official is Marivic Guzman .
The authorized official title is President/ceo and has the following contact phone number (619) 972-0844.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 9/27/2019.

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	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			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: 4/28/2024

NPI Synchronization or Removal

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