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 | 282N00000X | General Acute Care Hospital | | 08 0000 139 | 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 | 3 | OTHER | CALIFORNIA | KAISER |
| 2 | HSC 30424J | OTHER | CALIFORNIA | MCL HMO IN-PATIENT |
| 3 | HSC 30424J | MEDICAID | CALIFORNIA | |
| 4 | ZZZH3705Z | OTHER | CALIFORNIA | BLUE SHIELD |
| 5 | SCME | OTHER | CALIFORNIA | UNIVERSAL CARE |
| 6 | 6151040 | OTHER | CALIFORNIA | AETNA |
| 7 | HSP 40424J | OTHER | CALIFORNIA | MCL HMO OUT-PATIENT |
| 8 | 05 0424 | OTHER | CALIFORNIA | BLUE CROSS |
| 9 | HCP 30424J | MEDICAID | CALIFORNIA | |
| 10 | HSP 40424J | MEDICAID | CALIFORNIA | |
