California Heart Eastbay Medical Group

LBN: California Heart Eastbay Medical Group
California Heart Eastbay Medical Group is an health care organization with primary practice located at 2485 High School Ave Ste 312, Concord CA 94520-1819. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. California Heart Eastbay Medical Group can be contacted via phone (925) 676-2600, or through Klisiewicz, Jacquelyn M via phone (925) 676-2600.

Contact Information

Primary practice address
2485 High School Ave Ste 312 Concord CA 94520-1819
Phone: (925) 676-2600
Fax: (925) 680-0212
Website:
Map and Directions
Authorized official contact:
Name: Klisiewicz, Jacquelyn M
Phone: (925) 676-2600

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1619971165
LBN Legal business name California Heart Eastbay Medical Group
DBA Doing business as California Heart Eastbay Medical Group
Authorized official Klisiewicz, Jacquelyn M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619971165 NPPES
California MEDICAID GR0050130

Popular Providers