Healthcare Provider Details

I. General information

NPI: 1053349258
Provider Name (Legal Business Name): HEALTHPOINTE MEDICAL GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 MEDICAL CENTER DR
PERRIS CA
92571-2657
US

IV. Provider business mailing address

16702 VALLEY VIEW AVE
LA MIRADA CA
90638-5824
US

V. Phone/Fax

Practice location:
  • Phone: 951-657-1400
  • Fax: 951-657-0661
Mailing address:
  • Phone: 714-367-5360
  • Fax: 714-635-5428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. ISMAEL SILVA
Title or Position: PRESIDENT
Credential: M.D
Phone: 714-635-2642