JOSE DE GUZMAN CO TING MD INC NPI 1942218730

NPI Information

NPI: 1942218730
Provider Name: JOSE DE GUZMAN CO TING MD INC

Doing Business As: ECHO PARK FAMILY MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1160 N LOGAN STREET
LOS ANGELES, CA
ZIP 90026
Phone: (213) 250-7069
Get Directions

JOSE DE GUZMAN CO TING MD INC is a general practice in Los Angeles, CA. JOSE DE GUZMAN CO TING MD INC NPI is 1942218730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Echo Park Family Medical Clinic.

The provider's business location address is:

1160 N LOGAN STREET
LOS ANGELES, CA
ZIP 90026
Phone: (213) 250-7069
Fax: (213) 250-7520

The provider's authorized official is Jose De Guzman Co Ting .
The authorized official title is President and has the following contact phone number (213) 250-7069.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 4/19/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A38825	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A85187	MEDICARE UPIN
2	00A388250	OTHER	CALIFORNIA	CHDP
3	00A388250	MEDICAID	CALIFORNIA
4	A38825	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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