Alfred B Dadivas Md Inc

LBN: Alfred B Dadivas Md Inc
Alfred B Dadivas Md Inc is an health care organization with primary practice located at 7950 Cherry Ave Suite 106, Fontana CA 92336-4023. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Alfred B Dadivas Md Inc can be contacted via phone (909) 350-2400, or through Dadivas, Alfred B via phone (909) 350-2400.

Contact Information

Primary practice address
7950 Cherry Ave Suite 106 Fontana CA 92336-4023
Fax: (909) 350-2480
Website:
Authorized official contact:
Name: Dadivas, Alfred B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A48522 California

Profile Details

NPI number 1184806606
LBN Legal business name Alfred B Dadivas Md Inc
DBA Doing business as
Authorized official Dadivas, Alfred B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Aug 21st, 2009 - about 15 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 1184806606 NPPES
California MEDICAID 00A485220

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