James Keller Wortham in Glendale - General Practice
James Keller Wortham - NPI 1528114410
James Keller Wortham is a General Practice in Glendale, California. James Keller Wortham practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Keller Wortham is 1528114410. The last update date is 2021-11-12.
James Keller Wortham's current location address is 1030 S Glendale Ave, Glendale, California. You can contact this provider via phone number 8185475400 and fax number 8185473380. The mailing address for James Keller Wortham is 1030 S Glendale Ave, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Keller Wortham |
|---|---|
| Address | 1030 S Glendale Ave, Glendale, California |
| Phone Number | 8185475400 |
| Fax Number | 8185473380 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528114410 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
| Address | 1030 S Glendale Ave |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912055612 |
| Phone Number | 8185475400 |
| Fax Number | 8185473380 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A88510 |
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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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What is the unique identifier code issued to James Keller Wortham by the Centers for Medicare & Medicaid Services?
The James Keller Wortham has been assigned the NPI (National Provider Identifier) 1528114410. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where James Keller Wortham is located?
The James Keller Wortham is situated at the following address: 1030 S Glendale Ave, Glendale, CA, 912055612.
What is the James Keller Wortham's area of specialization and corresponding taxonomy classification?
The James Keller Wortham's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the James Keller Wortham receive its 1528114410 assignment from the Centers for Medicare & Medicaid Services?
The James Keller Wortham was assigned its 1528114410 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information related to James Keller Wortham most recently updated or refreshed?
The details pertaining to the James Keller Wortham, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-12.
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