Brad A Wolfson M D A Medical Corporation
LBN: Brad A Wolfson M D A Medical Corporation
Brad A Wolfson M D A Medical Corporation is an health care organization with primary practice located at 555 E Tachevah Dr Ste 2 , Palm Springs CA 92262-5750. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty.
Brad A Wolfson M D A Medical Corporation can be contacted via phone (760) 320-6005, or through Eberhardt, Doris Olivia via phone (760) 320-6005.
Contact Information
Primary practice address
555 E Tachevah Dr Ste 2
Palm Springs CA 92262-5750
Phone: (760) 320-6005
Fax: (760) 323-5786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G61080 | California |
Profile Details
| NPI number | 1912232166 |
|---|---|
| LBN Legal business name | Brad A Wolfson M D A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Eberhardt, Doris Olivia CPC, CUC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2009 |
| Last updated | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912232166 | NPPES |
| California | Other | G61080 | CA MEDICAL LICENSE |
| California | MEDICAID | 00G610801 | CA MEDICAL LICENSE |
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