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ANZA COMMUNITY MEDICAL CENTER CORP NPI 1942485610


NPI Information

NPI: 1942485610
Provider Name: ANZA COMMUNITY MEDICAL CENTER CORP

Doing Business As: ANZA COMMUNITY MEDICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
56480 HIGHWAY 371
ANZA, CA
ZIP 92539
Phone: (951) 763-2626
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ANZA COMMUNITY MEDICAL CENTER CORP is a clinic center in Anza, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ANZA COMMUNITY MEDICAL CENTER CORP NPI is 1942485610. The provider is registered as an organization entity type.
The provider Is Doing Business As Anza Community Medical Center.

The provider's business location address is:

56480 HIGHWAY 371
ANZA, CA
ZIP 92539
Phone: (951) 763-2626
Fax: (951) 763-5353

The provider's authorized official is Jonathan Yujung Yun .
The authorized official title is President and has the following contact phone number (951) 595-5589.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 1/6/2010.


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
1261Q00000XClinic/Center20A8759CALIFORNIAYes

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
1020A87591MEDICARE PINCALIFORNIA
2H78016MEDICARE UPINCALIFORNIA
300AX87590MEDICAIDCALIFORNIA

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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