FAMILY PRACTICE ASSOCIATES OF CARSON NPI 1851546246

NPI Information

FAMILY PRACTICE ASSOCIATES OF CARSON is a non pharmacy dispensing site in Carson, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FAMILY PRACTICE ASSOCIATES OF CARSON NPI is 1851546246. The provider is registered as an organization entity type.

The provider's business location address is:

824 E CARSON ST
201
CARSON, CA
ZIP 90745-262
Phone: (310) 233-3228

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 05D0942998 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2008 and was last updated on 10/23/2012.

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:

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