Glen R Stream is a Family Medicine in La Quinta, California. Glen R Stream practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Glen R Stream is 1265425326. The last update date is 2016-03-01.
Glen R Stream's current location address is 45280 Seeley Dr, La Quinta, California. You can contact this provider via phone number 7606107300. The mailing address for Glen R Stream is 45280 Seeley Dr, La Quinta, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen R Stream |
|---|---|
| Address | 45280 Seeley Dr, La Quinta, California |
| Phone Number | 7606107300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265425326 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2016-03-01 |
Provider Mailing Address Detail
| Address | 45280 Seeley Dr |
|---|---|
| City | La Quinta |
| State | California (CA) |
| Post Code | 922536834 |
| Phone Number | 7606107300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00021005 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8506404 | WA | -- |
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What is the unique identification code assigned to Glen R Stream by the Centers for Medicare & Medicaid Services?
The Glen R Stream has been issued the NPI (National Provider Identifier) 1265425326. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Glen R Stream?
The Glen R Stream is situated at 45280 Seeley Dr, in the city of La Quinta, state of CA, with the zip code 922536834.
What is the Glen R Stream's area of specialization and corresponding taxonomy classification?
The Glen R Stream's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265425326 to Glen R Stream?
The Centers for Medicare & Medicaid Services originally issued the 1265425326 to Glen R Stream on 2005-08-24.
When was the information related to Glen R Stream most recently updated or refreshed?
The details pertaining to the Glen R Stream, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-01.
NPI Number: 1528061710
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