FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE – NPI #1669966651
Clinic/Center

FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE is an AHC clinic located in ENCINO, CA. NPPES has assigned the NPI number 1669966651 to FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE on June 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE” is a dba name, the actual legal business name for this organization is KBG MED CLINIC AND URGENT CARE, INC.. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

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 FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE below.

NPI Profile for
KBG MED CLINIC AND URGENT CARE, INC.

NPI Number
1669966651
Enumeration Date

(about 8 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
KBG MED CLINIC AND URGENT CARE, INC.
Doing Business As (dba): FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE
Other name(s)
All associated names:
Doing Business As (dba)
FAMILY MED CLINIC AND PEDIATRICS URGENT CARE
Doing Business As (dba)
FAMILY MEDICAL CLINIC AND PEDIATRICS URGENT CARE
Primary location
5353 BALBOA BLVD STE 201
ENCINO, CA 91316-2865
Phone: (818) 788-7840 Fax: (818) 788-7842
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAYSAN GHASSEMINEJAD
PRESIDENT
Phone: (310) 892-5501
Updated
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)

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.