Provider Demographics
NPI: | 1306498829 |
---|---|
Name: | HENRY MAYO NEWHALL CLINICS, LLC |
Entity type: | Organization |
Organization Name: | HENRY MAYO NEWHALL CLINICS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER, PROF BILLING & COLLECTIONS |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | DIANA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROJAS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 661-200-1122 |
Mailing Address - Street 1: | 23845 MCBEAN PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | VALENCIA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91355-2001 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 661-200-1702 |
Mailing Address - Fax: | 661-200-1036 |
Practice Address - Street 1: | 23845 MCBEAN PKWY |
Practice Address - Street 2: | |
Practice Address - City: | VALENCIA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91355-2001 |
Practice Address - Country: | US |
Practice Address - Phone: | 661-200-1122 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-07-15 |
Last Update Date: | 2025-08-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
No | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | Group - Multi-Specialty | |
No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
No | 207PE0004X | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services | Group - Multi-Specialty |
No | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | Group - Multi-Specialty |
No | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | Group - Multi-Specialty |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | Plastic Surgery Within the Head and Neck | Group - Multi-Specialty |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 2086S0102X | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | Group - Multi-Specialty |
No | 2086S0122X | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery | Group - Multi-Specialty |
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
No | 273R00000X | Hospital Units | Psychiatric Unit | ||
No | 282N00000X | Hospitals | General Acute Care Hospital |