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SOUTH CENTRAL MEDICAL CLINIC NPI 1962001420


NPI Information

NPI: 1962001420
Provider Name: SOUTH CENTRAL MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10024 S VERMONT AVE
LOS ANGELES, CA
ZIP 90044
Phone: (323) 756-1412
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SOUTH CENTRAL MEDICAL CLINIC is a family medicine in Los Angeles, 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. SOUTH CENTRAL MEDICAL CLINIC NPI is 1962001420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10024 S VERMONT AVE
LOS ANGELES, CA
ZIP 90044-112
Phone: (323) 756-1412
Fax: (323) 756-1413

The provider's authorized official is Quinta Cunningham .
The authorized official title is Authorize Official and has the following contact phone number (323) 756-1412.

The enumeration date for this NPI number is 10/25/2020 and was last updated on 10/25/2020.


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
1207Q00000XFamily MedicineYes

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

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