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GENESIS MEDICAL CLINIC
NPI 1215079892
Family Medicine in Buena Park, CA

Active since February 12, 2007
6189 LA PALMA AVE, BUENA PARK, CA 90620(714) 522-2891(714) 522-8176 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MEDICAL CLINIC (NPI 1215079892) is a healthcare organization registered as a family medicine in Buena Park, California and active in the NPI registry since February 2007. The organization lists Terry Kb Fowler, President, as its authorized official.

NPPES Registry Identity

NPI1215079892
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTKB FOWLER DO INC
Location Address6189 LA PALMA AVEBuena Park, CA 90620-2858
Mailing Address6189 La Palma AveBuena Park, CA 90620-2858 · (714) 522-2891 · Fax (714) 522-8176
Phone(714) 522-2891
Fax(714) 522-8176
Organization SubpartNo
Authorized OfficialTerry Kb FowlerPresident · (714) 522-2891
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 3, 2008
✔ NPI 1215079892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A7881✔ Licensed in CA · 00AX78810✔ Licensed in CA · 20A7613✔ Licensed in CA · A43569
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6189 LA PALMA AVE, Buena Park, CA 90620
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Other Names 1

Doing Business AsGenesis Medical Clinic

Other Identifiers 2

Medicare UPINW16003
Medicare ID-Type UnspecifiedW16003CA

Group Practice 1

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE PARK PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6189 LA PALMA AVE
BUENA PARK, CA 90620
Orange County (714) 522-2891
GENESIS MEDICAL CLINIC
Non-Pharmacy Dispensing Site
6189 LA PALMA AVE
BUENA PARK, CA 90620
Orange County (714) 522-2891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tkb Fowler Do Inc's NPI number?

The NPI number for Tkb Fowler Do Inc is 1215079892. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Genesis Medical Clinic.

Where is Tkb Fowler Do Inc located?

Tkb Fowler Do Inc is located at 6189 La Palma Ave, Buena Park, CA 90620. The listed phone number is (714) 522-2891.

What is Tkb Fowler Do Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tkb Fowler Do Inc was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.