Advanced Pediatric Medical Group Inc

LBN: Advanced Pediatric Medical Group Inc
Advanced Pediatric Medical Group Inc is an health care organization with primary practice located at 5222 Balboa Ave Suite 42, San Diego CA 92117-6904. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Advanced Pediatric Medical Group Inc can be contacted via phone (858) 268-0702, or through Sadrieh, Jay Jalal via phone (858) 268-0702.

Contact Information

Primary practice address
5222 Balboa Ave Suite 42 San Diego CA 92117-6904
Phone: (858) 268-0702
Fax: (858) 268-0374
Website:
Map and Directions
Authorized official contact:
Name: Sadrieh, Jay Jalal Doctor of Medicine (MD)
Phone: (858) 268-0702

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A46462 California

Profile Details

NPI number 1558459180
LBN Legal business name Advanced Pediatric Medical Group Inc
DBA Doing business as
Authorized official Sadrieh, Jay Jalal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 25th, 2013 - about 11 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 1558459180 NPPES
California MEDICAID GR0071320

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