Bayside Urology Medical Group Inc

LBN: Bayside Urology Medical Group Inc
Bayside Urology Medical Group Inc is an health care organization with primary practice located at 450 4Th Ave Ste 303, Chula Vista CA 91910-4429. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bayside Urology Medical Group Inc can be contacted via phone (619) 420-0201, or through Hunting, Daniel B. via phone (619) 420-0201.

Contact Information

Primary practice address
450 4Th Ave Ste 303 Chula Vista CA 91910-4429
Phone: (619) 420-0201
Fax: (619) 425-7795
Website:
Map and Directions
Authorized official contact:
Name: Hunting, Daniel B. Doctor of Medicine (MD)
Phone: (619) 420-0201

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1164536579
LBN Legal business name Bayside Urology Medical Group Inc
DBA Doing business as
Authorized official Hunting, Daniel B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated May 10th, 2011 - about 14 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 1164536579 NPPES
California MEDICAID 00C371780

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