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PICO RIVERA COMMUNITY MEDICAL CLINIC INC NPI 1841232394


NPI Information

NPI: 1841232394
Provider Name: PICO RIVERA COMMUNITY MEDICAL CLINIC INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0916425

Address:
4705 DURFEE AVE
PICO RIVERA, CA
ZIP 90660
Phone: (562) 692-0621
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PICO RIVERA COMMUNITY MEDICAL CLINIC INC is a family medicine in Pico Rivera, 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. PICO RIVERA COMMUNITY MEDICAL CLINIC INC NPI is 1841232394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4705 DURFEE AVE
PICO RIVERA, CA
ZIP 90660-037
Phone: (562) 692-0621
Fax: (562) 695-0660

The provider's authorized official is Claudia Hernandez .
The authorized official title is Owner/partner and has the following contact phone number (562) 692-0621.

The CLIA number assigned to this NPI record is 05D0916425 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/31/2016.


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
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

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: 11/14/2023

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