Bolivar Family Medical Clinic A Medical Corporation

LBN: Bolivar Family Medical Clinic A Medical Corporation
Bolivar Family Medical Clinic A Medical Corporation is an health care organization with primary practice located at 10327 Hole Ave , Riverside CA 92505-1747. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bolivar Family Medical Clinic A Medical Corporation can be contacted via phone (951) 351-1600, or through Bolivar, Alvaro via phone (909) 888-8152.

Contact Information

Primary practice address
10327 Hole Ave Riverside CA 92505-1747
Phone: (951) 351-1600
Fax: (951) 351-9400
Website:
Map and Directions
Authorized official contact:
Name: Bolivar, Alvaro Doctor of Medicine (MD)
Phone: (909) 888-8152

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1215991534
LBN Legal business name Bolivar Family Medical Clinic A Medical Corporation
DBA Doing business as
Authorized official Bolivar, Alvaro Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Jan 2nd, 2014 - about 11 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 1215991534 NPPES
California MEDICAID 00A532860

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