Brightline Medical Affiliates, Pa

LBN: Brightline Medical Affiliates, Pa
Brightline Medical Affiliates, Pa is an health care organization with primary practice located at 400 Concar Dr , San Mateo CA 94402-2681. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Brightline Medical Affiliates, Pa can be contacted via phone (650) 456-5777, or through Grodberg, David via phone (917) 587-0024.

Contact Information

Primary practice address
400 Concar Dr San Mateo CA 94402-2681
Phone: (650) 456-5777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grodberg, David Doctor of Medicine (MD)
Phone: (917) 587-0024

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1871253062
LBN Legal business name Brightline Medical Affiliates, Pa
DBA Doing business as
Authorized official Grodberg, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2021
Last updated Jan 3rd, 2023 - about last year

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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