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Organization
MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC
Active
Organization
MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
511 N HOLLYWOOD WAY, BURBANK, CA 91505-3406
(866) 389-2727
(401) 406-3539
Mailing address
PO BOX 772, PAYOR ENROLLMENT-MC 2295, WOONSOCKET, RI 02895-0784
(866) 389-2727
(401) 406-3539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO3845
MEDICARE RAILROAD
CA
Enumeration date
08/01/2007
Last updated
10/11/2024
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