KHEMARA MEDICAL GROUP INC NPI 1013135201

Specialist in Long Beach, CA

NPI 1013135201 Organization Specialist

About KHEMARA MEDICAL GROUP INC

Khemara Medical Group Inc is a provider established in Long Beach, California specializing in specialist. The NPI number of Khemara Medical Group Inc is 1013135201 and was assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number G79550 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. Khemara Medical Group Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kittya Paigne Md (President)

NPI

1013135201

Provider NameKHEMARA MEDICAL GROUP INC
Provider Location Address1533 ALAMITOS AVE STE B LONG BEACH, CA 90813
Provider Mailing Address1533 ALAMITOS AVE STE B LONG BEACH, CA 90813
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-23-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.G79550
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

KHEMARA MEDICAL GROUP INC
1533 ALAMITOS AVE STE B
LONG BEACH, CA
ZIP 90813
Phone: (562) 218-5350
Fax: (562) 218-1630

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Mailing Address

KHEMARA MEDICAL GROUP INC
1533 ALAMITOS AVE STE B
LONG BEACH, CA
ZIP 90813
Phone: (562) 218-5350
Fax: (562) 218-1630



Authorized Official

Authorized Official Name KITTYA PAIGNE MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(562) 218-5350

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.