Citrus Medical Clinic

LBN: Brian Diep Md Inc
Citrus Medical Clinic is an health care organization with primary practice located at 2051 W Warner Rd Ste # 5, Chandler AZ 85224-2100. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Brian Diep Md Inc can be contacted via phone (626) 488-7663, or through Diep, Brian via phone (626) 488-7663.

Contact Information

Primary practice address
2051 W Warner Rd Ste # 5 Chandler AZ 85224-2100
Fax:
Website:
Authorized official contact:
Name: Diep, Brian Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 261QP2300X Arizona

Profile Details

NPI number 1841485489
LBN Legal business name Brian Diep Md Inc
DBA Doing business as Citrus Medical Clinic
Authorized official Diep, Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated May 14th, 2008 - about 16 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 1841485489 NPPES
Arizona MEDICAID 975831

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