Aspen Pediatric Clinic,Inc.

LBN: Aspen Pediatric Clinic,Inc.
Aspen Pediatric Clinic,Inc. is an health care organization with primary practice located at 15203 11Th St Suite C, Victorville CA 92395-3737. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Aspen Pediatric Clinic,Inc. can be contacted via phone (760) 951-9985, or through Calimlim, Marcelino S via phone (760) 951-9985.

Contact Information

Primary practice address
15203 11Th St Suite C Victorville CA 92395-3737
Phone: (760) 951-9985
Fax: (760) 952-3387
Website:
Map and Directions
Authorized official contact:
Name: Calimlim, Marcelino S Doctor of Medicine (MD)
Phone: (760) 951-9985

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A79537 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X A79537 California

Profile Details

NPI number 1538304134
LBN Legal business name Aspen Pediatric Clinic,Inc.
DBA Doing business as Aspen Pediatric Clinic,Inc.
Authorized official Calimlim, Marcelino S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2008
Last updated Mar 27th, 2012 - about 12 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 1538304134 NPPES
California MEDICAID 00A795370

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