Healthcare Provider Details

I. General information

NPI: 1528595139
Provider Name (Legal Business Name): NMC PROPERTIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13823 AVENIDA ESPANA
LA MIRADA CA
90638-3406
US

IV. Provider business mailing address

PO BOX 148
LA MIRADA CA
90637-0148
US

V. Phone/Fax

Practice location:
  • Phone: 562-587-2216
  • Fax: 562-448-3138
Mailing address:
  • Phone: 562-587-2216
  • Fax: 562-448-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number100256
License Number StateCA

VIII. Authorized Official

Name: MS. MABEL ALEJANDRA ADAMITA
Title or Position: OWNER
Credential: CERTIFIED MEDICAL IN
Phone: 562-587-2216