Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Primary and Specialty Clinic PC

Organization Clinic/Center · NPI 1558181792

Family Primary and Specialty Clinic PC is a Clinic/Center in Palmdale, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

631 W Avenue Q Ste B
Palmdale, CA 93551-3892
Phone: (661) 425-0295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1558181792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Taheri — Ceo · (310) 922-1412
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing addressPo Box 16297, Beverly Hills, CA 90209-2297

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