Cable Street Family Practice And Medical Group, Inc.
LBN: Cable Street Family Practice And Medical Group, Inc.
Cable Street Family Practice And Medical Group, Inc. is an health care organization with primary practice located at 1808 Cable St , San Diego CA 92107-3103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Cable Street Family Practice And Medical Group, Inc. can be contacted via phone (619) 221-4490, or through Cava, Noli A via phone (619) 221-4490.
Contact Information
Primary practice address
1808 Cable St
San Diego CA 92107-3103
Phone: (619) 221-4490
Fax: (619) 221-4494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | G84802 | California |
Profile Details
| NPI number | 1184834012 |
|---|---|
| LBN Legal business name | Cable Street Family Practice And Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Cava, Noli A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Dec 21st, 2015 - about 10 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 | 1184834012 | NPPES |
| California | Other | W14659 | PTAN |
| California | MEDICAID | 3836332 | PTAN |
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