National Provider Identifier Database

HOME CARE MD MEDICAL GROUP
Primary Care


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
* Primary Care 363LP2300X
Family 363LF0000X
Family Medicine 207Q00000X
Medical 363AM0700X
Occupational Medicine 2083X0100X

* Indicates primary specialty

NPI Profile & details for HOME CARE MD MEDICAL GROUP

NPI Number 1023644556
Legal business name
LBN
HOME CARE MD MEDICAL GROUP
Authorized official SHYLEE TIAMSON - (NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 03/16/2020
Last updated 06/14/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for HOME CARE MD MEDICAL GROUP

There are currently no reviews for HOME CARE MD MEDICAL GROUP


NPIdb - Home
v2.201