CORDOVA MEDICAL & DIAGNOSTIC GROUP INC NPI 1285916221

NPI Information

NPI: 1285916221
Provider Name: CORDOVA MEDICAL & DIAGNOSTIC GROUP INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
26732 CROWN VALLEY PKWY
STE 421
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 347-8721
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CORDOVA MEDICAL & DIAGNOSTIC GROUP INC is a general practice in Mission Viejo, CA. CORDOVA MEDICAL & DIAGNOSTIC GROUP INC NPI is 1285916221. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26732 CROWN VALLEY PKWY
STE 421
MISSION VIEJO, CA
ZIP 92691-306
Phone: (949) 347-8721
Fax: (949) 347-8709

The provider's authorized official is Warner Glassford .
The authorized official title is Cfo and has the following contact phone number (310) 775-7795.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A51101	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A51101	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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