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

Genesis Medical Clinic

Organization Non-Pharmacy Dispensing Site · NPI 1932436714

Genesis Medical Clinic is a Non-Pharmacy Dispensing Site in Buena Park, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

6189 La Palma Ave
Buena Park, CA 90620-2858
Phone: (714) 522-2891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 11986 (CA)

Record details

NPI number1932436714
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Operations · (858) 625-2990
NPI enumeratedNovember 16, 2009
Last updated in NPPESDecember 3, 2014
Mailing address5626 Oberlin Dr, 110, San Diego, CA 92121-1705

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