Aliso Medical Clinic, Inc

LBN: Aliso Medical Clinic, Inc
Aliso Medical Clinic, Inc is an health care organization with primary practice located at 1625 E 4Th St , Los Angeles CA 90033-4201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Aliso Medical Clinic, Inc can be contacted via phone (323) 268-8391, or through Barnes-Keith, Christine via phone (323) 268-8391.

Contact Information

Primary practice address
1625 E 4Th St Los Angeles CA 90033-4201
Fax: (323) 268-8014
Website:
Authorized official contact:
Name: Barnes-Keith, Christine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A28934 California

Profile Details

NPI number 1154457745
LBN Legal business name Aliso Medical Clinic, Inc
DBA Doing business as
Authorized official Barnes-Keith, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1154457745 NPPES
California Other ZZZ74805Z BLUE SHIELD GRP PIN
California MEDICAID GR0067720 BLUE SHIELD GRP PIN
California MEDICAID 00A289340 BLUE SHIELD GRP PIN
California Other 11513273 BLUE SHIELD GRP PIN

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