A Medina Professional Dental Corporation
LBN: A Medina Professional Dental Corporation
A Medina Professional Dental Corporation is an health care organization with primary practice located at 309 Third Avenue , Chula Vista CA 91910-3910. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
A Medina Professional Dental Corporation can be contacted via phone (619) 420-6030, or through Medina, Alfred A via phone (619) 420-6030.
Contact Information
Primary practice address
309 Third Avenue
Chula Vista CA 91910-3910
Phone: (619) 420-6030
Fax: (619) 420-9102
Website:
Authorized official contact:
Name: Medina, Alfred A Doctor of Dental Surgery (DDS)
Phone: (619) 420-6030
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 29371 | California |
Profile Details
NPI number | 1114167186 |
---|---|
LBN Legal business name | A Medina Professional Dental Corporation |
DBA Doing business as | |
Authorized official | Medina, Alfred A Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 3rd, 2009 |
Last updated | Aug 26th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114167186 | NPPES |
California | Other | 000475909 | UNITED CONCORDIA |
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