Clinica Popular Medical Group in Loas Angeles - Adolescent Medicine
Clinica Popular Medical Group - NPI 1528101029
Clinica Popular Medical Group is a Adolescent Medicine in Loas Angeles, California. Clinica Popular Medical Group practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Clinica Popular Medical Group is 1528101029. The last update date is 2020-08-22.
Clinica Popular Medical Group's current location address is 2410 W. 7th St, Loas Angeles, California. You can contact this provider via phone number 2133817175 and fax number 2133817028. The mailing address for Clinica Popular Medical Group is 2410 W. 7th St, Loas Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Clinica Popular Medical Group |
---|---|
Address | 2410 W. 7th St, Loas Angeles, California |
Phone Number | 2133817175 |
Fax Number | 2133817028 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Berdakin Daniel |
Credentials | MD |
Telephone Number | 2133817175 |
NPI Number Detail
NPI Number | 1528101029 |
---|---|
Provider Enumeration Date | 2007-02-14 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2410 W. 7th St |
---|---|
City | Loas Angeles |
State | California (CA) |
Post Code | 900573904 |
Phone Number | 2133817175 |
Fax Number | 2133817028 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
---|---|
Taxonomy | 207Qa0000X |
Licence No | 207QA35536D |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
WA35536D | CA | RENDERING PROVIDER |
Post Comment/ Review Below
What is the unique identification code assigned to Clinica Popular Medical Group by the Centers for Medicare & Medicaid Services?
The Clinica Popular Medical Group has been issued the NPI (National Provider Identifier) 1528101029. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clinica Popular Medical Group is physically located?
The Clinica Popular Medical Group is physically situated at the following address: 2410 W. 7Th St, Loas Angeles, CA, 900573904.
What is Clinica Popular Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clinica Popular Medical Group is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528101029 to Clinica Popular Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1528101029 to Clinica Popular Medical Group on 2007-02-14.
As of what date were the details pertaining to Clinica Popular Medical Group last refreshed?
The information related to the Clinica Popular Medical Group, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC