Great Spirit Medical Group,Inc in Northridge - Family Medicine
Great Spirit Medical Group,Inc - NPI 1407869928
Great Spirit Medical Group,Inc is a Family Medicine in Northridge, California. Great Spirit Medical Group,Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Great Spirit Medical Group,Inc is 1407869928. The last update date is 2007-11-12.
Great Spirit Medical Group,Inc's current location address is 9900 Balboa Blvd, Northridge, California. You can contact this provider via phone number 8187010017 and fax number 8187010073. The mailing address for Great Spirit Medical Group,Inc is 9900 Balboa Blvd, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Spirit Medical Group,Inc |
|---|---|
| Address | 9900 Balboa Blvd, Northridge, California |
| Phone Number | 8187010017 |
| Fax Number | 8187010073 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Miranda J.R Conrado |
| Credentials | MD |
| Telephone Number | 8187010017 |
NPI Number Detail
| NPI Number | 1407869928 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
| Address | 9900 Balboa Blvd |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913255403 |
| Phone Number | 8187010017 |
| Fax Number | 8187010073 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A48817 |
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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 unique 10-digit identification code assigned to Great Spirit Medical Group,Inc by the Centers for Medicare & Medicaid Services?
The Great Spirit Medical Group,Inc has been issued the NPI (National Provider Identifier) 1407869928, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Great Spirit Medical Group,Inc is geographically located?
The Great Spirit Medical Group,Inc is physically situated at the following location: 9900 Balboa Blvd, Northridge, CA, 913255403.
What is Great Spirit Medical Group,Inc's area of expertise and its corresponding taxonomy classification?
The Great Spirit Medical Group,Inc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Great Spirit Medical Group,Inc receive its 1407869928 assignment from the Centers for Medicare & Medicaid Services?
The Great Spirit Medical Group,Inc was assigned its 1407869928 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Great Spirit Medical Group,Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Great Spirit Medical Group,Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-12.