HOME CARE MD MEDICAL GROUP; NPI #1023644556

Contact Information

HOME CARE MD MEDICAL GROUP

100 N BARRANCA ST # 900-J
WEST COVINA, CA 91791-1637

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

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NPI Profile & details for HOME CARE MD MEDICAL GROUP

NPI #	`1023644556`
LBN Legal business name	HOME CARE MD MEDICAL GROUP
Authorized official	SHYLEE TIAMSON - (NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/16/2020
Last updated	06/14/2021 - About 5 years ago
Identifiers	n/a

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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HOME CARE MD MEDICAL GROUP

Contact Information

Specialty

Primary Care

Family

Family Medicine

Medical

Occupational Medicine

NPI Profile & details for HOME CARE MD MEDICAL GROUP

Reviews for HOME CARE MD MEDICAL GROUP