NPI Code Details Logo

NPI 1245167196

NPI 1245167196 : FAM BUSINESS MANAGEMENT : LYNWOOD, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245167196
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FAM BUSINESS MANAGEMENT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/05/2026
-----------------------------------------------------
    Last Update Date     |    05/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10910 LONG BEACH BLVD STE 106 
-----------------------------------------------------
    City                 |    LYNWOOD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90262-2687
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-554-4106
-----------------------------------------------------
    Fax                  |    310-554-4173
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10910 LONG BEACH BLVD STE 106 
-----------------------------------------------------
    City                 |    LYNWOOD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90262-2687
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-554-4106
-----------------------------------------------------
    Fax                  |    310-554-4173
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OFFICE MANAGER
-----------------------------------------------------
    Name                 |     FRANCISCO  RODRIGUEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    310-554-4106
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.