LA PALMA URGENT & FAMILY CARE INC. (NPI# 1407090665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407090665 |
| Entity Type | Organization |
| Organization Name | LA PALMA URGENT & FAMILY CARE INC. |
| Other Organization Name | LA PALMA URGENT & FAMILY CARE |
| Practice Address |
7851 Walker St Ste 102 La Palma CA 90623-1734 |
| Practice Telephone | 7149942273 |
| Practice Fax Number | 7149942224 |
| Mailing Telephone | 7149942273 |
| Mailing Fax Number | 7149942224 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | SIDDIQ AHMED KHAWAJA (ADMINISTRATOR) |
| Authorized Official Telephone | 7149942273 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
C42493 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SOCIAL SECURITY | $$$$$$$$$ | 01 | |
| CA | 00C424931 | 05 |
| Other Name | Type Code |
|---|---|
| La Palma Urgent & Family Care | Former Legal Business Name - Organization |
| Street Address |
7851 WALKER ST STE 102 |
| City | LA PALMA |
| State | CA |
| Zip Code | 90623-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093381 | Lotus Rx Pharmacy, Inc. | Pharmacy | 7851 Walker St Ste 102, La Palma, CA 90623-1734 | 2020-05-05 |
| 1184196586 | Lotus Rx Pharmacy, Inc. | Pharmacy | 7851 Walker St Ste 102, La Palma, CA 90623-1734 | 2018-12-23 |
| 1356767545 | Endeavor Medical Supply | Durable Medical Equipment & Medical Supplies | 7851 Walker St Ste 102, La Palma, CA 90623-1734 | 2014-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026953 | Kimberley Pak | Behavioral Analyst | 6 Centerpointe Dr Ste 700, La Palma, CA 90623 | 2017-07-20 |
| 1881127850 | Gaylynn Motta | Social Worker | 7512 Keith Circle, La Palma, CA 90623 | 2017-04-06 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1205204179 | Joanna L Tran | Physician Assistant | 5451 La Palma Avenue Suite 25, La Palma, CA 90623 | 2015-09-09 |
| 1558783258 | Marilyn Lee | Nurse Practitioner | 1 Centerpointe Dr., Ste 415, La Palma, CA 90623 | 2014-01-15 |
| 1487089157 | Occupational Health Centers of Illinois PC | Clinic/Center | 40 Centerpointe Dr, La Palma, CA 90623 | 2013-09-12 |
| 1619217833 | Seong Woo Rhee | Acupuncturist | 7872 Walker St., Suite#104, La Palma, CA 90623 | 2013-02-25 |
| 1942553458 | Michael Zhang | Dentist | 4511 Montecito Dr., La Palma, CA 90623 | 2012-10-22 |
| 1174824841 | Justin Wu | Internal Medicine | 5451 La Palma Ave Ste 25, La Palma, CA 90623 | 2010-11-10 |
| 1669667762 | Guity N Yeganeh | Pediatrics | 5 Centerpoint Dr., La Palma, CA 90623 | 2007-09-11 |
| Find all providers in zip 90623 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.