SICK CLINIC INC – NPI #1699369561
Clinic/Center

NPI Profile
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SICK CLINIC INC is an AHC clinic located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1699369561 to SICK CLINIC INC on February 22, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 4 years ago on Dec 28, 2021. 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 SICK CLINIC INC below.

NPI Profile for
SICK CLINIC INC

NPI Number

1699369561

Enumeration Date

Feb 22, 2021
(more than 5 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

SICK CLINIC INC

Primary location

2507 EASTBLUFF DR STE C
NEWPORT BEACH, CA 92660-3504

Phone: (888) 544-9262 Fax: (949) 264-9028

4 Other location(s):

212 W Troy St Ste B
Dothan, AL 36303-4455
Phone: (888) 544-9262
Fax: (949) 264-9028

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone: (888) 544-9262
Fax: (949) 264-9028

4700 N Point Pkwy
Alpharetta, GA 30022-2427
Phone: (888) 544-9262
Fax: (949) 264-9028

2221 Saint Claude Ave
New Orleans, LA 70117-8455
Phone: (888) 544-9262
Fax: (949) 264-9028

Mailing address

Same as primary location

Organization Subpart

Authorized Official

MICHAEL HSU
CFO
Phone: (562) 244-1959

Updated

Dec 28, 2021

Certification Date

Dec 28, 2021

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.

Identifiers

Identifiers for SICK CLINIC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

Description	Issuer	State	Identifier
OTHER	MEDICAL LICENSE	CA	A100885
OTHER	TELEMEDICINE LICENSE	FL	TPME1713

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
261QM1300X - Clinic/Center / Multi-Specialty (Primary)
261QU0200X - Clinic/Center / Urgent Care

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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