Access Wound Care And Podiatry Care Clinic

LBN: Access Wound Care And Podiatry Care Clinic
Access Wound Care And Podiatry Care Clinic is an health care organization with primary practice located at 1510 S Central Ave Suite 120, Glendale CA 91204-2500. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Access Wound Care And Podiatry Care Clinic can be contacted via phone (800) 480-3338, or through Blaine, Charles via phone (800) 480-3338.

Contact Information

Primary practice address
1510 S Central Ave Suite 120 Glendale CA 91204-2500
Fax: (818) 790-3121
Website:
Authorized official contact:
Name: Blaine, Charles Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3817 California

Profile Details

NPI number 1679714166
LBN Legal business name Access Wound Care And Podiatry Care Clinic
DBA Doing business as
Authorized official Blaine, Charles Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2009
Last updated Mar 13th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679714166 NPPES
California MEDICAID 000E38170

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