SPECTRUM SKIN CANCER CARE INC NPI 1790134047

NPI Information

  • NPI: 1790134047
  • Provider Name: SPECTRUM SKIN CANCER CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 425 E HOLYOKE PL
    CLAREMONT, CA
    ZIP 91711
  • Phone: (909) 702-7602

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NPI Details

SPECTRUM SKIN CANCER CARE INC is a family medicine in Claremont, CA. The provider is 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 is not limited by age, sex, organ system, or disease entity. SPECTRUM SKIN CANCER CARE INC NPI is 1790134047. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

425 E HOLYOKE PL
CLAREMONT, CA
ZIP 91711-979
Phone: (909) 702-7602

The provider's authorized official is Asif Siddiq .
The authorized official title is President/provider and has the following contact phone number (909) 702-7602.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.

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
1207Q00000XFamily MedicineYes

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: 3/30/2025

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