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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ST. PAUL MEDICAL CLINIC A PROFESSIONAL CORPORATION

Active Organization

ST. PAUL MEDICAL CLINIC A PROFESSIONAL CORPORATION is a Internal Medicine organization located in VAN NUYS, California. NPI 1629142062 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · VAN NUYS, CA

Registration Details

NPI Number
1629142062
Provider Type
Organization
NPI Issued
Nov 18, 2006 (19.754842801065 yrs)
Last Updated
Jul 1, 2019
Licenses
A90428 (CA)
A90428 (CA)

Practice Information

Address
15216 VANOWEN ST STE 2A
VAN NUYS, CA, 914053679
Browse CA providers · Browse ZIP 91405
Phone
8189892406
Fax
8189890696
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.