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Contact Information

DAVID PICELLA PHD INC
1617 N GAREY AVE
POMONA, CA91767
 Phone: 877-241-8200
 Fax: 909-245-1751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID PICELLA PHD INC

NPI # 1689057960
LBN Legal business name DAVID PICELLA PHD INC
Authorized official DAVID PICELLA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2015
Last updated 08/03/2018 - About 8 years ago
Identifiers
CA License # 10299
CA License # 269
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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