MEDICINA FAMILIAR – NPI #1609961648
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MEDICINA FAMILIAR is a provider located in PACOIMA, CA. NPPES has assigned the NPI number 1609961648 to MEDICINA FAMILIAR on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on May 22, 2008. 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 MEDICINA FAMILIAR below.

NPI Profile for
MEDICINA FAMILIAR

NPI Number
1609961648
Enumeration Date

(more than 19 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
MEDICINA FAMILIAR
Primary location
13500 VAN NUYS BLVD
PACOIMA, CA 91331
Phone: (818) 896-2999 Fax: (818) 896-8449
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSE MANUEL GONZALEZ-DIAZ
OWNER
Phone: (818) 896-2999
Updated
Identifiers

Identifiers for MEDICINA FAMILIAR

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.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0086101
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
208D00000X
- General Practice (Primary)
CA A41311

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.