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CAMINO NUEVO FAMILY HEALTH CLINIC NPI 1881973444


NPI Information

NPI: 1881973444
Provider Name: CAMINO NUEVO FAMILY HEALTH CLINIC

Former Legal Business Name: CAMINO NUEVO FAMILY HEALTH CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D2102161

Address:
1800 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90057
Phone: (213) 484-9934
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CAMINO NUEVO FAMILY HEALTH CLINIC is a community health clinic center in Los Angeles, CA. CAMINO NUEVO FAMILY HEALTH CLINIC NPI is 1881973444. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Camino Nuevo Family Health Clinic.

The provider's business location address is:

1800 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90057-602
Phone: (213) 484-9934
Fax: (213) 484-9939

The provider's authorized official is Sonia C Sorto .
The authorized official title is Coo and has the following contact phone number (213) 493-3976.

The CLIA number assigned to this NPI record is 05D2102161 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 6/23/2023.


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
1261QP2300XClinic/CenterPrimary CareCALIFORNIANo
2261QC1500XClinic/CenterCommunity HealthCALIFORNIAYes

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: 5/5/2024

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