Bonebuilders Medical Clinic

LBN: Bonebuilders Medical Clinic
Bonebuilders Medical Clinic is an health care organization with primary practice located at 4150 Regents Park Row Ste 321 , La Jolla CA 92037-9124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Bonebuilders Medical Clinic can be contacted via phone (858) 678-0455, or through Rudolph, Charles N via phone (858) 678-0455.

Contact Information

Primary practice address
4150 Regents Park Row Ste 321 La Jolla CA 92037-9124
Phone: (858) 678-0455
Fax: (858) 678-0391
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Charles N Doctor of Medicine (MD)
Phone: (858) 678-0455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G60659 California

Profile Details

NPI number 1356401566
LBN Legal business name Bonebuilders Medical Clinic
DBA Doing business as
Authorized official Rudolph, Charles N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jan 7th, 2022 - about 2 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 1356401566 NPPES
California MEDICAID 1356401566

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