PALMDALE MEDICAL CLINIC INC NPI 1851849863

NPI Information

PALMDALE MEDICAL CLINIC INC is a family medicine in Palmdale, 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. PALMDALE MEDICAL CLINIC INC NPI is 1851849863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

540 W PALMDALE BLVD
SUITE B
PALMDALE, CA
ZIP 93551-232
Phone: (661) 947-5600
Fax: (661) 947-5900

The provider's authorized official is Svetlana V Gorelikova .
The authorized official title is Owner and has the following contact phone number (661) 947-5600.

The CLIA number assigned to this NPI record is 05D2183329 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2016 and was last updated on 9/19/2016.

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:

Other Identifiers

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