Provider Demographics
NPI:1184337602
Name:FAMILYFIRST FAMILY MEDICAL PRACTICE INC
Entity type:Organization
Organization Name:FAMILYFIRST FAMILY MEDICAL PRACTICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIDIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-341-3800
Mailing Address - Street 1:42135 10TH ST W STE 201
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-6093
Mailing Address - Country:US
Mailing Address - Phone:661-341-3800
Mailing Address - Fax:661-341-3810
Practice Address - Street 1:42135 10TH ST W STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-6093
Practice Address - Country:US
Practice Address - Phone:661-341-3800
Practice Address - Fax:661-341-3810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVORS MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-29
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty