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ETN MEDICAL INFUSION INC. NPI 1972904084


NPI Information

NPI: 1972904084
Provider Name: ETN MEDICAL INFUSION, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2198486

Address:
11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 432-8884
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ETN MEDICAL INFUSION, INC. is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ETN MEDICAL INFUSION, INC. NPI is 1972904084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11100 WARNER AVE STE 158
FOUNTAIN VALLEY, CA
ZIP 92708-510
Phone: (714) 432-8884
Fax: (714) 432-8885

The provider's authorized official is Elizabeth Thu Nghiem .
The authorized official title is President and has the following contact phone number (714) 432-8884.

The CLIA number assigned to this NPI record is 05D2198486 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2014 and was last updated on 9/4/2019.


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
1174400000XSpecialistA62911CALIFORNIAYes

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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