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Contact Information

HOME CARE MD MEDICAL GROUP
100 N BARRANCA ST # 900-J
WEST COVINA, CA91791-1637
 Phone: 626-377-7608
 Fax: 626-206-0553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical

363AM0700X 97 Physician Assistant
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for HOME CARE MD MEDICAL GROUP · (Female)

NPI # 1023644556
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2020
Last updated 06/14/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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