FANNIES DAUGHTERS MEDICAL PC
NPI 1023490216
Clinic/Center - Urgent Care in Los Angeles, CA

NPI Status: Active since June 24, 2015

Contact Information

3650 W MARTIN LUTHER KING JR BLVD
185
LOS ANGELES, CA
ZIP 90008
Phone: (323) 294-4266

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  • Organization
  • Clinic/Center
  • Urgent Care

About FANNIES DAUGHTERS MEDICAL PC

This page provides the complete NPI Profile along with additional information for Fannies Daughters Medical Pc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1023490216 assigned on June 2015. The practitioner's primary taxonomy code is 261QU0200X with license number A45867 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Vanessa Mckenzie (Owner)

NPI
1023490216
Provider Name
FANNIES DAUGHTERS MEDICAL PC
Entity Type
Organization
Location Address
3650 W MARTIN LUTHER KING JR BLVD 185 LOS ANGELES, CA 90008
Location Phone
(323) 294-4266
Mailing Address
4303 DON DIABLO DR LOS ANGELES, CA 90008
Mailing Phone
(901) 412-4345
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2015
Last Update Date
06-24-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
A45867
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VANESSA MCKENZIE

Authorized Official Title
OWNER
Authorized Official Phone
(901) 412-4345

Reviews for FANNIES DAUGHTERS MEDICAL PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023490216
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204389022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 8 + 9 + 0 + 2 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1023490216 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285315168 SABINA SIMONIAN
Individual
Dietitian, Registered3650 W MARTIN LUTHER KING JR BLVD
LOS ANGELES, CA 90008
(323) 421-2710
1801633391 NICHELLE SHENITA COLEMAN WELLNESS COACH/PEER
Individual
Health and Wellness Coach3650 W MARTIN LUTHER KING JR BLVD
LOS ANGELES, CA 90008
(951) 386-6204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023490216, enumerated in the NPI registry as an "organization" on June 24, 2015

The provider is located at 3650 W Martin Luther King Jr Blvd 185 Los Angeles, Ca 90008 and the phone number is (323) 294-4266

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

This NPI record was last updated on June 24, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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