ECHO PARK FAMILY MEDICAL CLINIC – NPI #1942218730
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
ECHO PARK FAMILY MEDICAL CLINIC is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1942218730 to ECHO PARK FAMILY MEDICAL CLINIC on August 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ECHO PARK FAMILY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is JOSE DE GUZMAN CO TING MD INC. 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 14 years ago on Apr 19, 2012. 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 ECHO PARK FAMILY MEDICAL CLINIC below.
NPI Profile for
JOSE DE GUZMAN CO TING MD INC
(about 20 years ago)
LOS ANGELES, CA 90026 Phone: (213) 250-7069 Fax: (213) 250-7520
GLENDALE, CA 91206 Phone: (818) 952-4118 Fax:
PRESIDENT
Phone: (213) 250-7069
Identifiers for ECHO PARK FAMILY MEDICAL CLINIC
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 | CHDP | CA | 00A388250 |
| MEDICAID | CA | 00A388250 |
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 | A38825 |
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.