Baseline Medical Clinic

LBN: Baseline Medical Clinic, Inc
Baseline Medical Clinic is an health care organization with primary practice located at 330 N D St Ste 300 , San Bernardino CA 92401-1522. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Baseline Medical Clinic, Inc can be contacted via phone (909) 888-6602, or through Vu, Hoang-Chuong N via phone (909) 888-6602.

Contact Information

Primary practice address
330 N D St Ste 300 San Bernardino CA 92401-1522
Phone: (909) 888-6602
Fax: (909) 885-7494
Website:
Map and Directions
Authorized official contact:
Name: Vu, Hoang-Chuong N Doctor of Medicine (MD)
Phone: (909) 888-6602

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X C27156 California

Profile Details

NPI number 1891862553
LBN Legal business name Baseline Medical Clinic, Inc
DBA Doing business as Baseline Medical Clinic
Authorized official Vu, Hoang-Chuong N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 28th, 2017 - about 7 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 1891862553 NPPES
California MEDICAID GR0017240

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