NEW CONCEPTS MEDICAL GROUP - NPI 1619028008 - Clinic/Center in Northridge, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

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About New Concepts Medical Group NPPES

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

NEW CONCEPTS MEDICAL GROUP (NPI 1619028008) is a healthcare organization registered as a medical specialty in Northridge, California and active in the NPI registry since January 2007. The organization lists Lilly Wilen, Owner, as its authorized official.

NPPES Registry Identity

NPI1619028008

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLILLY WILEN M.D. A MEDICAL CORPORATION

Location Address17075 DEVONSHIRE ST, SUITE 306Northridge, CA 91325-1600

Mailing Address17075 Devonshire St, Suite 306Northridge, CA 91325-1600 · (818) 831-3227 · Fax (818) 831-3447

Phone(818) 831-3228

Fax(818) 831-3447

Organization SubpartNo

Authorized OfficialLilly WilenOwner · (818) 831-3227

Enumeration DateJanuary 15, 2007

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1619028008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in CA · A61876

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

17075 DEVONSHIRE ST, Northridge, CA 91325

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