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SENIOR CARE CLINIC A MEDICAL CORPORATION NPI 1942354857


NPI Information

NPI: 1942354857
Provider Name: SENIOR CARE CLINIC A MEDICAL CORPORATION
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1700 CESAR CHAVEZ AVE
# 3900
LOS ANGELES, CA
ZIP 90033
Phone: (323) 307-0800
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SENIOR CARE CLINIC A MEDICAL CORPORATION is a geriatric medicine internal medicine in Los Angeles, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SENIOR CARE CLINIC A MEDICAL CORPORATION NPI is 1942354857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1700 CESAR CHAVEZ AVE
# 3900
LOS ANGELES, CA
ZIP 90033-414
Phone: (323) 307-0800
Fax: (323) 307-0803

The provider's authorized official is Azmy Fouad Ghaly .
The authorized official title is President and has the following contact phone number (323) 307-0800.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 6/5/2023.


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
1207RG0300XInternal MedicineGeriatric MedicineA72860CALIFORNIANo
2207RG0300XInternal MedicineGeriatric MedicineA77545CALIFORNIANo
3207RG0300XInternal MedicineGeriatric MedicineA51085CALIFORNIAYes

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
1GR0089680MEDICAIDCALIFORNIA

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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