Medicina Familiar in Pacoima - General Practice
Medicina Familiar - NPI 1609961648
Medicina Familiar is a General Practice in Pacoima, California. Medicina Familiar practices all healthcare services and medical treatments related to General Practice. The NPI Number for Medicina Familiar is 1609961648. The last update date is 2008-05-22.
Medicina Familiar's current location address is 13500 Van Nuys Blvd, Pacoima, California. You can contact this provider via phone number 8188962999 and fax number 8188968449. The mailing address for Medicina Familiar is 13500 Van Nuys Blvd, Pacoima, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medicina Familiar |
|---|---|
| Address | 13500 Van Nuys Blvd, Pacoima, California |
| Phone Number | 8188962999 |
| Fax Number | 8188968449 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gonzalez-Diaz Jose Manuel |
| Credentials | MD |
| Telephone Number | 8188962999 |
NPI Number Detail
| NPI Number | 1609961648 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 13500 Van Nuys Blvd |
|---|---|
| City | Pacoima |
| State | California (CA) |
| Post Code | 913313028 |
| Phone Number | 8188962999 |
| Fax Number | 8188968449 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A41311 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0086101 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Medicina Familiar by the Centers for Medicare & Medicaid Services?
The Medicina Familiar has been issued the NPI (National Provider Identifier) 1609961648, 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 location address where Medicina Familiar's facilities are situated?
The facilities of Medicina Familiar are physically located at the following address: 13500 Van Nuys Blvd, Pacoima, CA, 913313028.
What is Medicina Familiar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medicina Familiar's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609961648 to Medicina Familiar?
The Centers for Medicare & Medicaid Services originally issued the 1609961648 to Medicina Familiar on 2006-10-04.
As of what date were the Medicina Familiar's details last updated?
The information pertaining to the Medicina Familiar, including its address, specialty, and other details, was most recently updated on 2008-05-22.