Organization · Type 2 NPI
Home Care MD Medical Group
Primary Care Nurse Practitioner · West Covina, CA
NPI number
1023644556
Active
Practice location
100 N Barranca St # 900-J
West Covina, CA 91791-1637
Fax (626) 206-0553
Other practice locations
- 2785 Pacific Coast Hwy Ste E241, Torrance, CA 90505-7066 · (626) 377-7608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Occupational Medicine Physician | 2083X0100X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in West Covina
About NPI 1023644556
Home Care MD Medical Group's National Provider Identifier is 1023644556, issued on Mar 16, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in West Covina, CA. The record was last updated on Jun 14, 2021.