Brookdale Medical Associates Inc

LBN: Brookdale Medical Associates Inc
Brookdale Medical Associates Inc is an health care organization with primary practice located at 205 117Th St S , Tacoma WA 98444-5409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Brookdale Medical Associates Inc can be contacted via phone (253) 535-5552, or through Kim, Chong C via phone (253) 535-5552.

Contact Information

Primary practice address
205 117Th St S Tacoma WA 98444-5409
Fax: (253) 535-5684
Website:
Authorized official contact:
Name: Kim, Chong C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00031125 Washington

Profile Details

NPI number 1073780532
LBN Legal business name Brookdale Medical Associates Inc
DBA Doing business as
Authorized official Kim, Chong C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated Aug 2nd, 2010 - about 14 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 1073780532 NPPES
Washington MEDICAID 1084490

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