Allan G Kavalich Md Inc

LBN: Allan G Kavalich Md Inc
Allan G Kavalich Md Inc is an health care organization with primary practice located at 1500 N Waterman Ave , San Bernardino CA 92404-5111. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Allan G Kavalich Md Inc can be contacted via phone (909) 381-1595, or through Kavalich, Allan G via phone (909) 381-1595.

Contact Information

Primary practice address
1500 N Waterman Ave San Bernardino CA 92404-5111
Fax: (909) 381-3291
Website:
Authorized official contact:
Name: Kavalich, Allan G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G29326 California

Profile Details

NPI number 1215243340
LBN Legal business name Allan G Kavalich Md Inc
DBA Doing business as
Authorized official Kavalich, Allan G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2010
Last updated Aug 26th, 2010 - 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 1215243340 NPPES
California MEDICAID 00G293260

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