NU LIFE MEDICAL GROUP – NPI #1891176350
General Practice

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

NU LIFE MEDICAL GROUP is a provider located in SAN JUAN CAPISTRANO, CA. NPPES has assigned the NPI number 1891176350 to NU LIFE MEDICAL GROUP on June 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 11 years ago on Oct 13, 2015. 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 NU LIFE MEDICAL GROUP below.

NPI Profile for
NU LIFE MEDICAL GROUP

NPI Number
1891176350
Enumeration Date

(more than 11 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
NU LIFE MEDICAL GROUP
Primary location
31371 RANCHO VIEJO RD STE 104
SAN JUAN CAPISTRANO, CA 92675-1848
Phone: (949) 565-0444 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HESSAM EFTEKHARI
OWNER
Phone: (619) 957-4726
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
208D00000X
- General Practice (Primary)
CA 20A9311
208VP0000X
- Pain Medicine / Pain Medicine
CA 20A9311
207QA0401X
- Family Medicine / Addiction Medicine
CA 20A9311
207LP2900X
- Anesthesiology / Pain Medicine
CA 20A9311
207LA0401X
- Anesthesiology / Addiction Medicine
CA 20A9311
103K00000X
- Behavior Analyst
CA 20A9311

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.