Pioneer Provider Network in Lakewood - Family Medicine
Pioneer Provider Network - NPI 1528260643
Pioneer Provider Network is a Family Medicine in Lakewood, California. Pioneer Provider Network practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pioneer Provider Network is 1528260643. The last update date is 2022-07-21.
Pioneer Provider Network's current location address is 4909 Lakewood Blvd, Lakewood, California. You can contact this provider via phone number 5606021563. The mailing address for Pioneer Provider Network is 4909 Lakewood Blvd, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pioneer Provider Network |
|---|---|
| Address | 4909 Lakewood Blvd, Lakewood, California |
| Phone Number | 5606021563 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER R |
|---|---|
| Authorized Official Name | Eng Bonnie |
| Telephone Number | 5626021563 |
NPI Number Detail
| NPI Number | 1528260643 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4909 Lakewood Blvd |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 907122405 |
| Phone Number | 5606021563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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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What is the Pioneer Provider Network's 1528260643?
The Pioneer Provider Network's NPI (National Provider Identifier) Number is 1528260643. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pioneer Provider Network's physical address?
The Pioneer Provider Network is physically located at 4909 Lakewood Blvd, in the city of Lakewood, CA, with the postal code 907122405.
What is Pioneer Provider Network's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pioneer Provider Network is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Pioneer Provider Network receive the assignment of its 1528260643 from the Centers for Medicare & Medicaid Services?
The Pioneer Provider Network was issued its 1528260643 by the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date were the details related to Pioneer Provider Network most recently updated or revised?
The information pertaining to Pioneer Provider Network, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY