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MEDICAL GROUP OF PARAMOUNT INC. NPI 1972563617


NPI Information

NPI: 1972563617
Provider Name: MEDICAL GROUP OF PARAMOUNT, INC.

Doing Business As: CLINICA MEDICA HISPANA MEDICAL CORP.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
14906 PARAMOUNT BLVD
PARAMOUNT, CA
ZIP 90723
Phone: (562) 630-1991
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MEDICAL GROUP OF PARAMOUNT, INC. is a general practice in Paramount, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICAL GROUP OF PARAMOUNT, INC. NPI is 1972563617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Medica Hispana Medical Corp..

The provider's business location address is:

14906 PARAMOUNT BLVD
PARAMOUNT, CA
ZIP 90723-409
Phone: (562) 630-1991
Fax: (562) 630-0145

The provider's authorized official is Nabil Horacio Khoury .
The authorized official title is President-medical Director and has the following contact phone number (562) 630-1991.

The enumeration date for this NPI number is 3/25/2006 and was last updated on 8/22/2020.


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
1208D00000XGeneral PracticeA31583CALIFORNIAYes
2207Q00000XFamily MedicineA88689CALIFORNIAX
3363A00000XPhysician AssistantPA 15959CALIFORNIAX
4363A00000XPhysician AssistantPA 18278CALIFORNIAX
5363L00000XNurse PractitionerNP 8951CALIFORNIAX
6207V00000XObstetrics & GynecologyA37605CALIFORNIAX

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
1GR0060690MEDICAIDCALIFORNIA

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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