RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC – NPI #1861629222
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC is an AHC clinic located in RESEDA, CA. NPPES has assigned the NPI number 1861629222 to RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC on June 12, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Oct 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC below.

NPI Profile for
RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC

NPI Number
1861629222
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC
Primary location
6830 RESEDA BLVD
RESEDA, CA 91335
Phone: (818) 996-4888 Fax: (818) 996-5888
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SYRUS FERIDOUNI
CEO
Phone: (818) 744-4369
Updated
Certification Date
Oct 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
CA 000242910900017

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.