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PACIFIC ALLIANCE MEDICAL CENTER INC NPI 1972551174


NPI Information

NPI: 1972551174
Provider Name: PACIFIC ALLIANCE MEDICAL CENTER, INC

Doing Business As: PACIFIC ALLIANCE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4837 HUNTINGTON DR N
LOS ANGELES, CA
ZIP 90032
Phone: (323) 343-9460
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PACIFIC ALLIANCE MEDICAL CENTER, INC 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. PACIFIC ALLIANCE MEDICAL CENTER, INC NPI is 1972551174. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pacific Alliance Medical Group.

The provider's business location address is:

4837 HUNTINGTON DR N
LOS ANGELES, CA
ZIP 90032-953
Phone: (323) 343-9460
Fax: (323) 343-9466

The provider's authorized official is Shi-yin Wong .
The authorized official title is Chairman and has the following contact phone number (213) 830-8950.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/11/2013.


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

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
1W12129DMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0057544MEDICAIDCALIFORNIA

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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