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General NPI Number Information
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NPI Number | 1528876547
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Entity Type | Organization
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Legal Business Name | NPC MEDICAL GROUP, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 1002 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-2620
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Country | US
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Telephone | 323-922-1022
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Fax | 323-922-1021
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Provider Business Mailing Address
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Address Line | 1002 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-2620
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Country | US
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Telephone | 323-922-1022
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Fax | 323-922-1021
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | ROBERTO MELENDEZ
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Credential |
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Telephone | 310-918-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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