Organization Name: | MAXICARE MEDICAL CENTER, INC. |
NPI Number: | 1376675736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUHAMMAD HASSAN SIZAR (PRESIDENT) |
Mailing Address: | 16000 Amar Rd City Of Industry |
State: | CA US |
Postal Code: | 917442203 |
Phone Number: | 6269688445 |
Fax Number: | 6263305599 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 20A8164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |