ABUNDANT LIFE MEDICAL CLINIC – NPI #1134746621
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

ABUNDANT LIFE MEDICAL CLINIC is a provider located in SANTA MARIA, CA. NPPES has assigned the NPI number 1134746621 to ABUNDANT LIFE MEDICAL CLINIC on June 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

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 ABUNDANT LIFE MEDICAL CLINIC below.

NPI Profile for
ABUNDANT LIFE MEDICAL CLINIC

NPI Number
1134746621
Enumeration Date

(about 6 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
ABUNDANT LIFE MEDICAL CLINIC
Primary location
338 E BETTERAVIA RD
SANTA MARIA, CA 93454-7846
Phone: (805) 698-6206 Fax:
Mailing address
34 RIVER POINTE WAY
LODI, CA 95240-0552
Phone: (805) 698-6206 Fax:
Organization Subpart
No
Authorized Official
BRIAN TALLEUR
OWNER
Phone: (805) 698-6206
Updated
Certification Date
Jun 30, 2020

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
207QA0401X
- Family Medicine / Addiction Medicine (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.