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OBRIA MEDICAL CLINICS NPI 1841734654


NPI Information

NPI: 1841734654
Provider Name: OBRIA MEDICAL CLINICS
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 05D1034992

Address:
1215 E CHAPMAN AVE STE 10
ORANGE, CA
ZIP 92866
Phone: (714) 516-9045
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OBRIA MEDICAL CLINICS is a nursing care in Orange, CA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. OBRIA MEDICAL CLINICS NPI is 1841734654. The provider is registered as an organization entity type.

The provider's business location address is:

1215 E CHAPMAN AVE STE 10
ORANGE, CA
ZIP 92866-237
Phone: (714) 516-9045

The provider's authorized official is Kenzie Moehle .
The authorized official title is Registered Nurse and has the following contact phone number (320) 290-9395.

The CLIA number assigned to this NPI record is 05D1034992 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/13/2016.


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
1251J00000XNursing Care95104236CALIFORNIAYes

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
1=========OTHERCALIFORNIAMEDI-CAL

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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